Other contact with and (suspected) exposures hazardous to health (Z77) ICD-10-CM
The Z77 code range covers other contact with and (suspected) exposures hazardous to health with 42 ICD-10-CM diagnosis codes. 31 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- contact with and (suspected) exposures to potential hazards to health
Type 2 Excludes
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.
- contact with and suspected exposure to communicable diseases Z20
- exposure to parental environmental tobacco smoke in the perinatal period P96.81
- newborn affected by noxious substances transmitted via placenta or breast milk P04
- occupational exposure to risk factors Z57
- retained foreign body Z18
- retained foreign body fully removed Z87.821
- toxic effects of substances chiefly nonmedicinal as to source T51 T65
Codes in the Z77 Range 42 codes · 31 billable
- Z77 Other contact with and (suspected) exposures hazardous to healthNon-billable
- Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicalsNon-billable
- Z77.01 Contact with and (suspected) exposure to hazardous metalsNon-billable
- Z77.010 Contact with and (suspected) exposure to arsenic
- Z77.011 Contact with and (suspected) exposure to lead
- Z77.012 Contact with and (suspected) exposure to uranium
- Z77.013 Contact with and (suspected) exposure to gadolinium New
- Z77.018 Contact with and (suspected) exposure to other hazardous metals
- Z77.02 Contact with and (suspected) exposure to hazardous aromatic compoundsNon-billable
- Z77.020 Contact with and (suspected) exposure to aromatic amines
- Z77.021 Contact with and (suspected) exposure to benzene
- Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds
- Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicalsNon-billable
- Z77.090 Contact with and (suspected) exposure to asbestos
- Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
- Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environmentNon-billable
- Z77.11 Contact with and (suspected) exposure to environmental pollutionNon-billable
- Z77.110 Contact with and (suspected) exposure to air pollution
- Z77.111 Contact with and (suspected) exposure to water pollution
- Z77.112 Contact with and (suspected) exposure to soil pollution
- Z77.118 Contact with and (suspected) exposure to other environmental pollution
- Z77.12 Contact with and (suspected) exposure to hazards in the physical environmentNon-billable
- Z77.120 Contact with and (suspected) exposure to mold (toxic)
- Z77.121 Contact with and (suspected) exposure to harmful algae and algae toxins
- Z77.122 Contact with and (suspected) exposure to noise
- Z77.123 Contact with and (suspected) exposure to radon and other naturally occurring radiation
- Z77.128 Contact with and (suspected) exposure to other hazards in the physical environment
- Z77.2 Contact with and (suspected) exposure to other hazardous substancesNon-billable
- Z77.21 Contact with and (suspected) exposure to potentially hazardous body fluids
- Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
- Z77.29 Contact with and (suspected) exposure to other hazardous substances
- Z77.3 Contact with and (suspected) exposure to war theaterNon-billable
- Z77.31 Contact with and (suspected) exposure to Gulf War theater
- Z77.32 Contact with and (suspected) exposure to burn pits in war theater New
- Z77.33 Contact with and (suspected) exposure to Agent Orange New
- Z77.39 Contact with and (suspected) exposure to other war theater
- Z77.4 Contact with and (suspected) exposure to blast overpressureNon-billable
- Z77.40 Contact with and (suspected) exposure to unspecified blast overpressure New
- Z77.41 Contact with and (suspected) exposure to low-level blast overpressure New
- Z77.42 Contact with and (suspected) exposure to high-level blast overpressure New
- Z77.49 Contact with and (suspected) exposure to other blast overpressure New
- Z77.9 Other contact with and (suspected) exposures hazardous to health
About the Z77 Code Range
These codes describe contact with, or suspected exposure to, hazards such as chemicals, pollution, substances, war theaters and blast overpressure.
Z77.0 groups hazardous chemicals, with more specific codes for metals, benzene, asbestos and others. Z77.1 separates pollution of air, water and soil from physical hazards such as mold, noise and radiation. Z77.2 includes potentially hazardous body fluids and environmental tobacco smoke.
Z77.3 separates war theater exposures, including burn pits and Agent Orange. Z77.4 distinguishes low-level, high-level, unspecified and other blast overpressure. Z77.9 describes other contact with or suspected exposure to health hazards.
FY 2027 changes: The FY 2027 ICD-10-CM update, effective October 1, 2026, added Z77.013, Z77.32, Z77.33, Z77.40, Z77.41, Z77.42 and Z77.49.
Questions About This Page
How many billable codes are in the Z77 range?
Of the 42 codes in this range, 31 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the Z77 range classify?
The range classifies other contact with and (suspected) exposures hazardous to health. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.