2026 ICD-10-CM Diagnosis Code Z78.0Asymptomatic menopausal state
Z78.0 is a billable ICD-10-CM diagnosis code for asymptomatic menopausal state. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. Coders also document this condition as history of normal menopause. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z78.0.
Present on Admission (POA)Billing
Z78.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- History of normal menopause
- Menopause present
- Normal menopause
- Perimenopausal state
- Postmenopausal state
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Menopausal state NOS
- Postmenopausal status NOS
Type 2 Excludes
- symptomatic menopausal state N95.1
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- climacteric, female - Z78.0
- menopausal - Z78.0
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Menopause, menopausal(asymptomatic) (state)
- State(of)
- climacteric, female
- State(of)
- menopausal
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z78.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z78.0Overview
Is Z78.0 (Other specified health status) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report asymptomatic menopausal state on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z78.0 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because asymptomatic menopausal state describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Who can Z78.0 be reported for?
The Medicare Code Editor checks asymptomatic menopausal state against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
Is Z78.0 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for asymptomatic menopausal state on inpatient claims.
What is the ICD-9 equivalent of Z78.0?
Under the General Equivalence Mappings, asymptomatic menopausal state converts to ICD-9-CM V49.81 (asympt postmeno status). The mapping is approximate, so confirm the match fits the documentation.
