ICD-10-CM Excludes1 Notes · Chapter 21 · FY 2027 Z00-Z99
Excludes1 Notes in Chapter 21: Factors influencing health status and contact with health services ICD-10-CM
An Excludes1 note means "NOT CODED HERE": the excluded code should never be reported together with the code above the note. In Chapter 21 (Z00-Z99), notes printed in the chapter name other codes 276 times, and Excludes1 Notes anywhere in the Tabular List name the chapter’s codes 234 times, covering 170 distinct codes, categories and ranges. Switch views to read the list either way.
✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
276
References in Its Notes
234
References to Its Codes
170
Chapter Codes Named
Z00-Z99
Chapter 21
Chapter 21
Excludes1 Notes by the code that carries the note
167 of 167 shown
- Z00 Encounter for general examination without complaint, suspected or reported diagnosis applies to 13 codes
- encounter for examination for administrative purposes (Z02.-)
- general health check-up of infant or child (Z00.12.-)
- health check for child over 28 days old (Z00.12-)
- Z01 Encounter for other special examination without complaint, suspected or reported diagnosis applies to 23 codes
- examination for driving license (Z02.4)
- Z01.02 Encounter for examination of eyes and vision following failed vision screening applies to 2 codes
- Z01.82 Encounter for allergy testing
- encounter for antibody response examination (Z01.84)
- Z01.84 Encounter for antibody response examination
- encounter for allergy testing (Z01.82)
- Z02.2 Encounter for examination for admission to residential institution
- examination for admission to prison (Z02.89)
- Z02.5 Encounter for examination for participation in sport
- blood-alcohol and blood-drug test (Z02.83)
- Z02.89 Encounter for other administrative examinations
- Z03 Encounter for medical observation for suspected diseases and conditions ruled out applies to 14 codes
- Z03.83 Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
- Z04.1 Encounter for examination and observation following transport accident
- encounter for examination and observation following work accident (Z04.2)
- Z04.71 Encounter for examination and observation following alleged adult physical abuse
- Z04.72 Encounter for examination and observation following alleged child physical abuse
- Z05.81 Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
- Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
- Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
- Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
- inconclusive mammogram (R92.2)
- Z12.4 Encounter for screening for malignant neoplasm of cervix
- when screening is part of general gynecological examination (Z01.4-)
- Z12.72 Encounter for screening for malignant neoplasm of vagina
- vaginal pap smear status-post hysterectomy for malignant conditions (Z08)
- genetic testing for procreative management (Z31.4-)
- Z13.811 Encounter for screening for lower gastrointestinal disorder
- encounter for screening for intestinal infectious disease (Z11.0)
- Z13.83 Encounter for screening for respiratory disorder NEC
- encounter for screening for respiratory tuberculosis (Z11.1)
- Z13.88 Encounter for screening for disorder due to exposure to contaminants
- Z15.81 Genetic susceptibility to multiple endocrine neoplasia [MEN]
- multiple endocrine neoplasia [MEN] syndromes (E31.2-)
- Z16.35 Resistance to multiple antimicrobial drugs
- Resistance to multiple antibiotics only (Z16.24)
- artificial joint prosthesis status (Z96.6-)
- foreign body accidentally left during a procedure (T81.5-)
- foreign body entering through orifice (T15-T19)
- in situ cardiac device (Z95.-)
- organ or tissue replaced by means other than transplant (Z96.-, Z97.-)
- organ or tissue replaced by transplant (Z94.-)
- personal history of retained foreign body fully removed Z87.821
- carrier of infectious disease (Z22.-)
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
- HIV infection status (Z21)
- Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
- Z22.330 Carrier of Group B streptococcus
- Carrier of streptococcus group B (GBS) complicating pregnancy, childbirth and the puerperium (O99.82-)
- Z22.7 Latent tuberculosis
- Z28.82 Immunization not carried out because of caregiver refusal
- immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
- encounter for surveillance of contraceptives (Z30.4-)
- Z30.014 Encounter for initial prescription of intrauterine contraceptive device
- Z30.8 Encounter for other contraceptive management
- postvasectomy sperm count (Z30.8)
- nonprocreative genetic testing (Z13.7-)
- nonprocreative genetic testing (Z13.7-)
- Z31.7 Encounter for procreative management and counseling for gestational carrier
- pregnant state, gestational carrier (Z33.3)
- Z33.1 Pregnant state, incidental
- Z33.2 Encounter for elective termination of pregnancy
- Z33.3 Pregnant state, gestational carrier
- encounter for procreative management and counseling for gestational carrier (Z31.7)
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- stillbirth (P95)
- Z39.1 Encounter for care and examination of lactating mother
- disorders of lactation (O92.-)
- organ donations (Z52.-)
- Z41.1 Encounter for cosmetic surgery
- Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury applies to 2 codes
- encounter for cosmetic plastic surgery (Z41.1)
- Z42.1 Encounter for breast reconstruction following mastectomy
- deformity and disproportion of reconstructed breast (N65.1-)
- presence of prosthetic device (Z97.-)
- mechanical complication of ocular prosthesis (T85.3)
- encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
- Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
- presence of other part of cardiac pacemaker (Z95.0)
- Z45.2 Encounter for adjustment and management of vascular access device
- encounter for adjustment and management of renal dialysis catheter (Z49.01)
- Encounter for fitting and adjustment of hearing aid (Z46.1)
- Z46.1 Encounter for fitting and adjustment of hearing aid
- encounter for adjustment and management of implanted hearing device (Z45.32-)
- Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device applies to 2 codes
- Z47.2 Encounter for removal of internal fixation device
- Z47.31 Aftercare following explantation of shoulder joint prosthesis
- Z47.32 Aftercare following explantation of hip joint prosthesis
- Z47.33 Aftercare following explantation of knee joint prosthesis
- encounter for planned postprocedural wound closure (Z48.1)
- Z48.1 Encounter for planned postprocedural wound closure
- encounter for attention to dressings and sutures (Z48.0-)
- Z48.81 Encounter for surgical aftercare following surgery on specified body systems applies to 8 codes
- aftercare following surgery for neoplasm (Z48.3)
- Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system
- encounter for aftercare following sterilization reversal (Z31.42)
- holiday relief care (Z75.5)
- Z51.81 Encounter for therapeutic drug level monitoring
- encounter for blood-drug test for administrative or medicolegal reasons (Z02.83)
- examination of potential donor (Z00.5)
- Z59.3 Problems related to living in residential institution
- institutional upbringing (Z62.22)
- Z60.4 Social exclusion and rejection
- target of adverse discrimination such as for racial or religious reasons (Z60.5)
- Z60.5 Target of (perceived) adverse discrimination and persecution
- social exclusion and rejection (Z60.4)
- problems with boarding school (Z59.3)
- Z62.810 Personal history of physical and sexual abuse in childhood
- Z62.811 Personal history of psychological abuse in childhood
- Z62.812 Personal history of neglect in childhood
- Z62.814 Personal history of child financial abuse
- current child financial abuse (T74.A2)
- Z62.819 Personal history of unspecified abuse in childhood
- Z62.831 Non-parental relative-child conflict
- group home staff-child conflict (Z62.833)
- Z62.832 Non-relative guardian-child conflict
- group home staff-child conflict (Z62.833)
- Z63.0 Problems in relationship with spouse or partner
- Z63.31 Absence of family member due to military deployment
- family disruption due to return of family member from military deployment (Z63.71)
- Z65.5 Exposure to disaster, war and other hostilities
- target of perceived discrimination or persecution (Z60.5)
- Z69.011 Encounter for mental health services for perpetrator of parental child abuse
- encounter for mental health services for non-parental child abuse (Z69.02-)
- Z71.1 Person with feared health complaint in whom no diagnosis is made
- medical observation for suspected diseases and conditions proven not to exist (Z03.-)
- Z71.83 Encounter for nonprocreative genetic counseling
- Z71.85 Encounter for immunization safety counseling
- encounter for health counseling related to travel (Z71.84)
- Z72.0 Tobacco use
- Z72.4 Inappropriate diet and eating habits
- paraphilias (F65)
- Z72.6 Gambling and betting
- compulsive or pathological gambling (F63.0)
- conduct disorders (F91.-)
- Z72.820 Sleep deprivation
- insomnia (G47.0-)
- Z72.821 Inadequate sleep hygiene
- Z73.3 Stress, not elsewhere classified
- stress related to employment or unemployment (Z56.-)
- Z73.6 Limitation of activities due to disability
- care-provider dependency (Z74.-)
- Z75.0 Medical services not available in home
- no other household member able to render care (Z74.2)
- Z75.3 Unavailability and inaccessibility of health-care facilities
- bed unavailable (Z75.1)
- Z76.4 Other boarder to healthcare facility
- homelessness (Z59.0-)
- Z76.5 Malingerer [conscious simulation]
- Z77.012 Contact with and (suspected) exposure to uranium
- retained depleted uranium fragments (Z18.01)
- Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
- Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels applies to 3 codes
- hormone replacement therapy (Z79.890)
- personal history of malignant neoplasm of renal pelvis (Z85.53)
- Z85.6 Personal history of leukemia
- Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- Z86.16 Personal history of COVID-19
- post COVID-19 condition (U09.9)
- Z86.17 Personal history of Clostridioides difficile infection
- enterocolitis due to Clostridium difficile, recurrent (A04.71)
- Z86.32 Personal history of gestational diabetes
- gestational diabetes mellitus in current pregnancy (O24.4-)
- Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
- Z87.430 Personal history of prostatic dysplasia
- personal history of malignant neoplasm of prostate (Z85.46)
- personal history of malignant neoplasm of cervix uteri (Z85.41)
- Z87.51 Personal history of pre-term labor
- current pregnancy with history of pre-term labor (O09.21-)
- Z87.6 Personal history of certain (corrected) conditions arising in the perinatal period applies to 2 codes
- personal history of (corrected) congenital malformations (Z87.7-)
- Z87.820 Personal history of traumatic brain injury
- personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (Z86.73)
- Z87.891 Personal history of nicotine dependence
- current nicotine dependence (F17.2-)
- personal history of sex reassignment (Z87.890-)
- lactose intolerance (E73.-)
- Z91.0111 Allergy to milk products with tolerance to baked milk
- Allergy to milk products with reactivity to baked milk (Z91.0112)
- Z91.0112 Allergy to milk products with reactivity to baked milk
- Allergy to milk products with tolerance to baked milk (Z91.0111)
- Z91.0121 Allergy to eggs with tolerance to baked egg
- Allergy to eggs with reactivity to baked egg (Z91.0122)
- Z91.0122 Allergy to eggs with reactivity to baked egg
- Allergy to egg with tolerance to baked egg (Z91.0121)
- Z91.410 Personal history of adult physical and sexual abuse
- Z91.412 Personal history of adult neglect
- Z92.0 Personal history of contraception
- Z92.3 Personal history of irradiation
- Z94.1 Heart transplant status
- Z95.0 Presence of cardiac pacemaker
- Z95.5 Presence of coronary angioplasty implant and graft
- coronary angioplasty status without implant and graft (Z98.61)
- Z95.820 Peripheral vascular angioplasty status with implants and grafts
- peripheral vascular angioplasty without implant and graft (Z98.62)
- Z97.5 Presence of (intrauterine) contraceptive device
- aphakia (H27.0)
- Z98.61 Coronary angioplasty status
- coronary angioplasty status with implant and graft (Z95.5)
- Z98.62 Peripheral vascular angioplasty status
- peripheral vascular angioplasty status with implant and graft (Z95.820)
- Z98.82 Breast implant status
- breast implant removal status (Z98.86)
- Z98.83 Filtering (vitreous) bleb after glaucoma surgery status
- Inflammation (infection) of postprocedural bleb (H59.4-)
- Z98.84 Bariatric surgery status
- bariatric surgery status complicating pregnancy, childbirth, or the puerperium (O99.84)
- Z98.85 Transplanted organ removal status
- encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)
- Z98.891 History of uterine scar from previous surgery
- Maternal care due to uterine scar from previous surgery (O34.2-)
- Z99.12 Encounter for respirator [ventilator] dependence during power failure
- mechanical complication of respirator [ventilator] (J95.850)
- Z99.2 Dependence on renal dialysis
- encounter for fitting and adjustment of dialysis catheter (Z49.0-)
- Z00.5 Encounter for examination of potential donor of organ and tissue
- Z52 Donors of organs and tissues: examination of potential donor (Z00.5)
- Z00-Z01 Encounter for general examination without complaint, suspected or reported diagnosis to Encounter for other special examination without complaint, suspected or reported diagnosis 36 codes
- Z02.7 Encounter for issue of medical certificate: encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)
- Z01.00 Encounter for examination of eyes and vision without abnormal findings
- Z01.02 Encounter for examination of eyes and vision following failed vision screening: encounter for examination of eyes and vision without abnormal findings (Z01.00)
- Z01.01 Encounter for examination of eyes and vision with abnormal findings
- Z01.02 Encounter for examination of eyes and vision following failed vision screening: encounter for examination of eyes and vision with abnormal findings (Z01.01)
- Z12.4 Encounter for screening for malignant neoplasm of cervix: when screening is part of general gynecological examination (Z01.4-)
- Z01.82 Encounter for allergy testing
- Z01.84 Encounter for antibody response examination: encounter for allergy testing (Z01.82)
- Z01.84 Encounter for antibody response examination
- Z01.82 Encounter for allergy testing: encounter for antibody response examination (Z01.84)
- Z02.0-Z02.6 Encounter for examination for admission to educational institution to Encounter for examination for insurance purposes 7 codes
- Z02.7 Encounter for issue of medical certificate: encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)
- Z02.4 Encounter for examination for driving license
- Z01.0 Encounter for examination of eyes and vision: examination for driving license (Z02.4)
- Z02.83 Encounter for blood-alcohol and blood-drug test
- Z02.89 Encounter for other administrative examinations
- Z02.2 Encounter for examination for admission to residential institution: examination for admission to prison (Z02.89)
- Z02.8-Z02.9 Encounter for other administrative examinations to Encounter for administrative examinations, unspecified 6 codes
- Z02.7 Encounter for issue of medical certificate: encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)
- Z00 Encounter for general examination without complaint, suspected or reported diagnosis: encounter for examination for administrative purposes (Z02.-)
- Z01 Encounter for other special examination without complaint, suspected or reported diagnosis: encounter for examination for administrative purposes (Z02.-)
- Z03.74 Encounter for suspected problem with fetal growth ruled out
- O26.84 Uterine size-date discrepancy complicating pregnancy: encounter for suspected problem with fetal growth ruled out (Z03.74)
- Z03.75 Encounter for suspected cervical shortening ruled out
- O26.87 Cervical shortening: encounter for suspected cervical shortening ruled out (Z03.75)
- O35 Maternal care for known or suspected fetal abnormality and damage: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- O36 Maternal care for other fetal problems: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- O40 Polyhydramnios: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- O41 Other disorders of amniotic fluid and membranes: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- Z36 Encounter for antenatal screening of mother: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- Z03.83 Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
- Z05.81 Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out: encounter for observation for suspected conditions related to home physiologic monitoring device ruled out (Z03.83)
- F63.2 Kleptomania: shoplifting as the reason for observation for suspected mental disorder (Z03.8)
- Z01 Encounter for other special examination without complaint, suspected or reported diagnosis: encounter for examination for suspected conditions, proven not to exist (Z03.-)
- Z71.1 Person with feared health complaint in whom no diagnosis is made: medical observation for suspected diseases and conditions proven not to exist (Z03.-)
- Z04.2 Encounter for examination and observation following work accident
- Z04.1 Encounter for examination and observation following transport accident: encounter for examination and observation following work accident (Z04.2)
- Z04.41 Encounter for examination and observation following alleged adult rape
- Z04.42 Encounter for examination and observation following alleged child rape
- Z04.71 Encounter for examination and observation following alleged adult physical abuse
- T76 Adult and child abuse, neglect and other maltreatment, suspected: suspected adult physical abuse, ruled out (Z04.71)
- Z04.72 Encounter for examination and observation following alleged child physical abuse
- T76 Adult and child abuse, neglect and other maltreatment, suspected: suspected child physical abuse, ruled out (Z04.72)
- T76.2 Sexual abuse, suspected: alleged abuse, ruled out (Z04.7)
- Z05.- Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out 15 codes
- Z03 Encounter for medical observation for suspected diseases and conditions ruled out: encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05.-)
- Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
- Z11.0 Encounter for screening for intestinal infectious diseases
- Z13.811 Encounter for screening for lower gastrointestinal disorder: encounter for screening for intestinal infectious disease (Z11.0)
- Z11.1 Encounter for screening for respiratory tuberculosis
- Z13.83 Encounter for screening for respiratory disorder NEC: encounter for screening for respiratory tuberculosis (Z11.1)
- Z12.4 Encounter for screening for malignant neoplasm of cervix
- Z01.41 Encounter for routine gynecological examination: screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
- Z16.3 Resistance to other antimicrobial drugs: resistance to antibiotics (Z16.1-, Z16.2-)
- Z16.24 Resistance to multiple antibiotics
- Z16.35 Resistance to multiple antimicrobial drugs: Resistance to multiple antibiotics only (Z16.24)
- Z16.3 Resistance to other antimicrobial drugs: resistance to antibiotics (Z16.1-, Z16.2-)
- Z18.01 Retained depleted uranium fragments
- Z77.012 Contact with and (suspected) exposure to uranium: retained depleted uranium fragments (Z18.01)
- Z18.1 Retained metal fragments: retained radioactive metal fragments (Z18.01-Z18.09)
- Z03.82 Encounter for observation for suspected foreign body ruled out: retained foreign body (Z18.-)
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
- B20 Human immunodeficiency virus [HIV] disease: exposure to HIV virus (Z20.6)
- Z21 Asymptomatic human immunodeficiency virus [HIV] infection status: contact with human immunodeficiency virus [HIV] (Z20.6)
- Z21 Asymptomatic human immunodeficiency virus [HIV] infection status: exposure to human immunodeficiency virus [HIV] (Z20.6)
- Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
- B20 Human immunodeficiency virus [HIV] disease: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
- R75 Inconclusive laboratory evidence of human immunodeficiency virus [HIV]: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]: HIV infection status (Z21)
- Z22.330 Carrier of Group B streptococcus
- O99.82 Streptococcus B carrier state complicating pregnancy, childbirth and the puerperium: Carrier of streptococcus group B (GBS) in a nonpregnant woman (Z22.330)
- R82.7 Abnormal findings on microbiological examination of urine: colonization status (Z22.-)
- R83.5 Abnormal microbiological findings in cerebrospinal fluid: colonization status (Z22.-)
- R84.5 Abnormal microbiological findings in specimens from respiratory organs and thorax: colonization status (Z22.-)
- R85.5 Abnormal microbiological findings in specimens from digestive organs and abdominal cavity: colonization status (Z22.-)
- R86.5 Abnormal microbiological findings in specimens from male genital organs: colonization status (Z22.-)
- R87.5 Abnormal microbiological findings in specimens from female genital organs: colonization status (Z22.-)
- R89.5 Abnormal microbiological findings in specimens from other organs, systems and tissues: colonization status (Z22.-)
- Z20 Contact with and (suspected) exposure to communicable diseases: carrier of infectious disease (Z22.-)
- Z28.1 Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.82 Immunization not carried out because of caregiver refusal: immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
- Z30.430 Encounter for insertion of intrauterine contraceptive device
- Z30.014 Encounter for initial prescription of intrauterine contraceptive device: encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432)
- Z30.432 Encounter for removal of intrauterine contraceptive device
- Z30.014 Encounter for initial prescription of intrauterine contraceptive device: encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432)
- Z97.5 Presence of (intrauterine) contraceptive device: checking, reinsertion or removal of intrauterine contraceptive device (Z30.43-)
- Z30.46 Encounter for surveillance of implantable subdermal contraceptive
- Z97.5 Presence of (intrauterine) contraceptive device: checking, reinsertion or removal of implantable subdermal contraceptive (Z30.46)
- Z30.8 Encounter for other contraceptive management
- Z31.4 Encounter for procreative investigation and testing: postvasectomy sperm count (Z30.8)
- Z92.0 Personal history of contraception: counseling or management of current contraceptive practices (Z30.-)
- Z31.41 Encounter for fertility testing
- Z30.8 Encounter for other contraceptive management: sperm count for fertility testing (Z31.41)
- Z31.42 Aftercare following sterilization reversal
- Z13.7 Encounter for screening for genetic and chromosomal anomalies: genetic testing for procreative management (Z31.4-)
- Z31.5 Encounter for procreative genetic counseling
- Z71.83 Encounter for nonprocreative genetic counseling: counseling for procreative genetics (Z31.5)
- Z71.83 Encounter for nonprocreative genetic counseling: counseling for procreative management (Z31.6)
- Z31.7 Encounter for procreative management and counseling for gestational carrier
- Z33.3 Pregnant state, gestational carrier: encounter for procreative management and counseling for gestational carrier (Z31.7)
- Z34 Encounter for supervision of normal pregnancy: encounter for pregnancy test (Z32.0-)
- Z33.3 Pregnant state, gestational carrier
- Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium: supervision of normal pregnancy (Z34.-)
- Z37.1 Single stillbirth
- P95 Stillbirth: outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
- Z37.3 Twins, one liveborn and one stillborn
- P95 Stillbirth: outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
- Z37.4 Twins, both stillborn
- P95 Stillbirth: outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
- Z37.7 Other multiple births, all stillborn
- P95 Stillbirth: outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
- Z29 Encounter for other prophylactic measures: prophylactic surgery (Z40.-)
- Z41.1 Encounter for cosmetic surgery
- Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury: encounter for cosmetic plastic surgery (Z41.1)
- Z44.3 Encounter for fitting and adjustment of external breast prosthesis: encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
- Z45.81 Encounter for adjustment or removal of breast implant: encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
- Z42.1 Encounter for breast reconstruction following mastectomy
- Z41.1 Encounter for cosmetic surgery: encounter for post-mastectomy breast implantation (Z42.1)
- Z44.3 Encounter for fitting and adjustment of external breast prosthesis: encounter for breast reconstruction following mastectomy (Z42.1)
- Z45.81 Encounter for adjustment or removal of breast implant: encounter for breast reconstruction following mastectomy (Z42.1)
- Z42.- Encounter for plastic and reconstructive surgery following medical procedure or healed injury 2 codes
- Z41.1 Encounter for cosmetic surgery: encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
- Z43.1-Z43.4 Encounter for attention to gastrostomy to Encounter for attention to other artificial openings of digestive tract 4 codes
- Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device: encounter for attention to artificial openings of digestive tract (Z43.1-Z43.4)
- Z93 Artificial opening status: artificial openings requiring attention or management (Z43.-)
- Z44-Z46 Encounter for fitting and adjustment of external prosthetic device to Encounter for fitting and adjustment of other devices 57 codes
- Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm: surveillance of prosthetic and other medical devices (Z44-Z46)
- Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
- Z45.01 Encounter for adjustment and management of cardiac pacemaker: encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
- Z46.1 Encounter for fitting and adjustment of hearing aid: encounter for adjustment and management of implanted hearing device (Z45.32-)
- Z44.3 Encounter for fitting and adjustment of external breast prosthesis: encounter for adjustment or removal of breast implant (Z45.81-)
- Z46.1 Encounter for fitting and adjustment of hearing aid
- Z45.32 Encounter for adjustment and management of implanted hearing device: Encounter for fitting and adjustment of hearing aid (Z46.1)
- Z48.1 Encounter for planned postprocedural wound closure: encounter for attention to dressings and sutures (Z48.0-)
- Z48.1 Encounter for planned postprocedural wound closure
- Z48.0 Encounter for attention to dressings, sutures and drains: encounter for planned postprocedural wound closure (Z48.1)
- Z48.3 Aftercare following surgery for neoplasm
- Z48.81 Encounter for surgical aftercare following surgery on specified body systems: aftercare following surgery for neoplasm (Z48.3)
- Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter
- Z45.2 Encounter for adjustment and management of vascular access device: encounter for adjustment and management of renal dialysis catheter (Z49.01)
- Z99.2 Dependence on renal dialysis: encounter for fitting and adjustment of dialysis catheter (Z49.0-)
- Z51.5 Encounter for palliative care
- Y66 Nonadministration of surgical and medical care: palliative care (Z51.5)
- Z51.6 Encounter for desensitization to allergens
- Z29 Encounter for other prophylactic measures: desensitization to allergens (Z51.6)
- Z40 Encounter for prophylactic surgery: organ donations (Z52.-)
- Z73.3 Stress, not elsewhere classified: stress related to employment or unemployment (Z56.-)
- Z57.1 Occupational exposure to radiation
- Z92.3 Personal history of irradiation: occupational exposure to radiation (Z57.1)
- Z13.88 Encounter for screening for disorder due to exposure to contaminants: those exposed to contaminants without suspected disorders (Z57.-, Z77.-)
- Z76.4 Other boarder to healthcare facility: homelessness (Z59.0-)
- Z59.3 Problems related to living in residential institution
- Z62.2 Upbringing away from parents: problems with boarding school (Z59.3)
- Z59.48 Other specified lack of adequate food
- Z72.4 Inappropriate diet and eating habits: lack of adequate food (Z59.48)
- Z60.4 Social exclusion and rejection
- Z60.5 Target of (perceived) adverse discrimination and persecution: social exclusion and rejection (Z60.4)
- Z60.5 Target of (perceived) adverse discrimination and persecution
- Z62.22 Institutional upbringing
- Z59.3 Problems related to living in residential institution: institutional upbringing (Z62.22)
- Z62.833 Group home staff-child conflict
- Z63.4 Disappearance and death of family member
- Z63.3 Absence of family member: absence of family member due to disappearance and death (Z63.4)
- Z63.5 Disruption of family by separation and divorce
- Z63.3 Absence of family member: absence of family member due to separation and divorce (Z63.5)
- Z63.71 Stress on family due to return of family member from military deployment
- Z63.31 Absence of family member due to military deployment: family disruption due to return of family member from military deployment (Z63.71)
- Z66 Do not resuscitate
- Y66 Nonadministration of surgical and medical care: DNR status (Z66)
- Z69.011 Encounter for mental health services for perpetrator of parental child abuse: encounter for mental health services for non-parental child abuse (Z69.02-)
- Z63.0 Problems in relationship with spouse or partner: counseling for spousal or partner abuse problems (Z69.1)
- Z63.0 Problems in relationship with spouse or partner: counseling related to sexual attitude, behavior, and orientation (Z70.-)
- Z71.1 Person with feared health complaint in whom no diagnosis is made
- Z03 Encounter for medical observation for suspected diseases and conditions ruled out: person with feared complaint in whom no diagnosis is made (Z71.1)
- Z71.84 Encounter for health counseling related to travel
- Z71.85 Encounter for immunization safety counseling: encounter for health counseling related to travel (Z71.84)
- Z72.0 Tobacco use
- Z72.6 Gambling and betting
- F63.0 Pathological gambling: gambling and betting NOS (Z72.6)
- F91 Conduct disorders: antisocial behavior (Z72.81-)
- Z72.820 Sleep deprivation
- F51.12 Insufficient sleep syndrome: sleep deprivation (Z72.820)
- Z74.2 Need for assistance at home and no other household member able to render care
- Z75.0 Medical services not available in home: no other household member able to render care (Z74.2)
- Z73.6 Limitation of activities due to disability: care-provider dependency (Z74.-)
- Z75.1 Person awaiting admission to adequate facility elsewhere
- Z75.3 Unavailability and inaccessibility of health-care facilities: bed unavailable (Z75.1)
- Z75.5 Holiday relief care
- Z51.8 Encounter for other specified aftercare: holiday relief care (Z75.5)
- Z77.123 Contact with and (suspected) exposure to radon and other naturally occurring radiation
- X39.0 Exposure to natural radiation: contact with and (suspected) exposure to radon and other naturally occurring radiation (Z77.123)
- Z92.3 Personal history of irradiation: exposure to radiation in the physical environment (Z77.12)
- Block T51-T65 Toxic effects of substances chiefly nonmedicinal as to source: contact with and (suspected) exposure to toxic substances (Z77.-)
- Z03 Encounter for medical observation for suspected diseases and conditions ruled out: contact with and (suspected) exposures hazardous to health (Z77.-)
- Z13.88 Encounter for screening for disorder due to exposure to contaminants: those exposed to contaminants without suspected disorders (Z57.-, Z77.-)
- Z78.0 Asymptomatic menopausal state
- N95.1 Menopausal and female climacteric states: asymptomatic menopausal state (Z78.0)
- Z79.3 Long term (current) use of hormonal contraceptives
- Z92.0 Personal history of contraception: long term (current) use of contraception (Z79.3)
- Z79.890 Hormone replacement therapy
- Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels: hormone replacement therapy (Z79.890)
- Z85.40-Z85.44 Personal history of malignant neoplasm of unspecified female genital organ to Personal history of malignant neoplasm of other female genital organs 5 codes
- Z87.41 Personal history of dysplasia of the female genital tract: personal history of malignant neoplasm of female genital tract (Z85.40-Z85.44, Z85.4A)
- Z85.41 Personal history of malignant neoplasm of cervix uteri
- Z87.44 Personal history of diseases of urinary system: personal history of malignant neoplasm of cervix uteri (Z85.41)
- Z85.46 Personal history of malignant neoplasm of prostate
- Z87.430 Personal history of prostatic dysplasia: personal history of malignant neoplasm of prostate (Z85.46)
- Z85.4A Personal history of malignant neoplasm of fallopian tube(s)
- Z87.41 Personal history of dysplasia of the female genital tract: personal history of malignant neoplasm of female genital tract (Z85.40-Z85.44, Z85.4A)
- Z85.53 Personal history of malignant neoplasm of renal pelvis
- Z85.52 Personal history of malignant neoplasm of kidney: personal history of malignant neoplasm of renal pelvis (Z85.53)
- Z85.6 Personal history of leukemia
- C91 Lymphoid leukemia: personal history of leukemia (Z85.6)
- C92 Myeloid leukemia: personal history of leukemia (Z85.6)
- C93 Monocytic leukemia: personal history of leukemia (Z85.6)
- C94 Other leukemias of specified cell type: personal history of leukemia (Z85.6)
- C95 Leukemia of unspecified cell type: personal history of leukemia (Z85.6)
- Z85.71 Personal history of Hodgkin lymphoma
- C81 Hodgkin lymphoma: personal history of Hodgkin lymphoma (Z85.71)
- Z85.72 Personal history of non-Hodgkin lymphomas
- C82 Follicular lymphoma: personal history of non-Hodgkin lymphoma (Z85.72)
- C83 Non-follicular lymphoma: personal history of non-Hodgkin lymphoma (Z85.72)
- C84 Mature T/NK-cell lymphomas: personal history of non-Hodgkin lymphoma (Z85.72)
- C85 Other specified and unspecified types of non-Hodgkin lymphoma: personal history of non-Hodgkin lymphoma (Z85.72)
- Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- C88 Malignant immunoproliferative diseases and certain other B-cell lymphomas: personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)
- C90 Multiple myeloma and malignant plasma cell neoplasms: personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)
- C96 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue: personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)
- Z86.001 Personal history of in-situ neoplasm of cervix uteri
- Z87.41 Personal history of dysplasia of the female genital tract: personal history of intraepithelial neoplasia III of female genital tract (Z86.001, Z86.008, Z86.00A)
- Z86.008 Personal history of in-situ neoplasm of other site
- Z87.41 Personal history of dysplasia of the female genital tract: personal history of intraepithelial neoplasia III of female genital tract (Z86.001, Z86.008, Z86.00A)
- Z86.00A Personal history of in-situ neoplasm of the fallopian tube(s)
- Z87.41 Personal history of dysplasia of the female genital tract: personal history of intraepithelial neoplasia III of female genital tract (Z86.001, Z86.008, Z86.00A)
- Z86.711 Personal history of pulmonary embolism
- I27.82 Chronic pulmonary embolism: personal history of pulmonary embolism (Z86.711)
- Z86.718 Personal history of other venous thrombosis and embolism
- Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
- I69 Sequelae of cerebrovascular disease: personal history of cerebral infarction without residual deficit (Z86.73)
- I69 Sequelae of cerebrovascular disease: personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
- I69 Sequelae of cerebrovascular disease: personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
- Z87.820 Personal history of traumatic brain injury: personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (Z86.73)
- Z87.6 Personal history of certain (corrected) conditions arising in the perinatal period: personal history of (corrected) congenital malformations (Z87.7-)
- Z87.820 Personal history of traumatic brain injury
- Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits: personal history of traumatic brain injury (Z87.820)
- Z87.821 Personal history of retained foreign body fully removed
- Z18 Retained foreign body fragments: personal history of retained foreign body fully removed Z87.821
- Z90.7 Acquired absence of genital organ(s): personal history of sex reassignment (Z87.890-)
- Z87.891 Personal history of nicotine dependence
- Z90.81 Acquired absence of spleen
- D73.0 Hyposplenism: postsurgical absence of spleen (Z90.81)
- Z91.0111 Allergy to milk products with tolerance to baked milk
- Z91.0112 Allergy to milk products with reactivity to baked milk: Allergy to milk products with tolerance to baked milk (Z91.0111)
- Z91.0112 Allergy to milk products with reactivity to baked milk
- Z91.0111 Allergy to milk products with tolerance to baked milk: Allergy to milk products with reactivity to baked milk (Z91.0112)
- Z91.0121 Allergy to eggs with tolerance to baked egg
- Z91.0122 Allergy to eggs with reactivity to baked egg: Allergy to egg with tolerance to baked egg (Z91.0121)
- Z91.0122 Allergy to eggs with reactivity to baked egg
- Z91.0121 Allergy to eggs with tolerance to baked egg: Allergy to eggs with reactivity to baked egg (Z91.0122)
- Z18 Retained foreign body fragments: organ or tissue replaced by transplant (Z94.-)
- Z95.0 Presence of cardiac pacemaker
- Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker: presence of other part of cardiac pacemaker (Z95.0)
- Z94.1 Heart transplant status: heart-valve replacement status (Z95.2-Z95.4)
- Z95.5 Presence of coronary angioplasty implant and graft
- Z98.61 Coronary angioplasty status: coronary angioplasty status with implant and graft (Z95.5)
- Z95.810 Presence of automatic (implantable) cardiac defibrillator
- Z95.0 Presence of cardiac pacemaker: presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (Z95.810)
- Z95.812 Presence of fully implantable artificial heart
- Z94.1 Heart transplant status: artificial heart status (Z95.812)
- Z95.820 Peripheral vascular angioplasty status with implants and grafts
- Z98.62 Peripheral vascular angioplasty status: peripheral vascular angioplasty status with implant and graft (Z95.820)
- Z18 Retained foreign body fragments: in situ cardiac device (Z95.-)
- Z96.1 Presence of intraocular lens
- Z18 Retained foreign body fragments: artificial joint prosthesis status (Z96.6-)
- Z18 Retained foreign body fragments: organ or tissue replaced by means other than transplant (Z96.-, Z97.-)
- Z97.5 Presence of (intrauterine) contraceptive device
- Z92.0 Personal history of contraception: presence of (intrauterine) contraceptive device (Z97.5)
- Z98.3 Post therapeutic collapse of lung status
- J98.1 Pulmonary collapse: therapeutic collapse of lung status (Z98.3)
- H27.0 Aphakia: cataract extraction status (Z98.4-)
- Z98.52 Vasectomy status
- N46 Male infertility: vasectomy status (Z98.52)
- Z98.61 Coronary angioplasty status
- Z95.5 Presence of coronary angioplasty implant and graft: coronary angioplasty status without implant and graft (Z98.61)
- Z98.62 Peripheral vascular angioplasty status
- Z95.820 Peripheral vascular angioplasty status with implants and grafts: peripheral vascular angioplasty without implant and graft (Z98.62)
- Z98.811 Dental restoration status
- K08.5 Unsatisfactory restoration of tooth: dental restoration status (Z98.811)
- Z98.83 Filtering (vitreous) bleb after glaucoma surgery status
- H59.4 Inflammation (infection) of postprocedural bleb: filtering (vitreous) bleb after glaucoma surgery status (Z98.83)
- Z98.86 Personal history of breast implant removal
- Z98.82 Breast implant status: breast implant removal status (Z98.86)
- Z99.12 Encounter for respirator [ventilator] dependence during power failure
- J95.850 Mechanical complication of respirator: encounter for respirator [ventilator] dependence during power failure (Z99.12)
- Z99.2 Dependence on renal dialysis
- I77.0 Arteriovenous fistula, acquired: presence of arteriovenous shunt (fistula) for dialysis (Z99.2)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Excludes1 Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Excludes1 Notes
What does an Excludes1 note mean?
An Excludes1 note means “NOT CODED HERE!”: the excluded code should never be used at the same time as the code above the note. It is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition (Section I.A.12.a). The FY 2027 Tabular List has 5,411 of them; 5,284 name other codes, with 5,710 references to 3,528 distinct codes, categories and ranges.
Is there any exception to an Excludes1 note?
Yes: when the two conditions are unrelated to each other. The Guidelines’ example is F45.8, whose Excludes1 note names sleep related teeth grinding (G47.63). A patient with psychogenic dysmenorrhea (an inclusion term of F45.8) and teeth grinding may have both codes reported. If it is not clear whether the conditions are related, query the provider.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.
