ICD-10-CM · FY 2026 POA Exempt
POA Exempt: Persons encountering health services in other circumstances (Z69-Z76) ICD-10-CM
The 78 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.
✓ Built from the official CMS FY 2026 POA exempt fileEffective Oct 1, 2025 – Sep 30, 2026
78
Exempt Codes
1
POA Indicator When Reported
ICD-10-CM
Exempt Codes in This Range 78 codes · 8 categories
78 of 78 shown
Z69 Encounter for mental health services for victim and perpetrator of abuse8 codes
- Z69.010 Encounter for mental health services for victim of parental child abuse
- Z69.011 Encounter for mental health services for perpetrator of parental child abuse
- Z69.020 Encounter for mental health services for victim of non-parental child abuse
- Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse
- Z69.11 Encounter for mental health services for victim of spousal or partner abuse
- Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse
- Z69.81 Encounter for mental health services for victim of other abuse
- Z69.82 Encounter for mental health services for perpetrator of other abuse
Z70 Counseling related to sexual attitude, behavior and orientation6 codes
- Z70.0 Counseling related to sexual attitude
- Z70.1 Counseling related to patient's sexual behavior and orientation
- Z70.2 Counseling related to sexual behavior and orientation of third party
- Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation
- Z70.8 Other sex counseling
- Z70.9 Sex counseling, unspecified
Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified19 codes
- Z71.0 Person encountering health services to consult on behalf of another person
- Z71.1 Person with feared health complaint in whom no diagnosis is made
- Z71.2 Person consulting for explanation of examination or test findings
- Z71.3 Dietary counseling and surveillance
- Z71.41 Alcohol abuse counseling and surveillance of alcoholic
- Z71.42 Counseling for family member of alcoholic
- Z71.51 Drug abuse counseling and surveillance of drug abuser
- Z71.52 Counseling for family member of drug abuser
- Z71.6 Tobacco abuse counseling
- Z71.7 Human immunodeficiency virus [HIV] counseling
- Z71.81 Spiritual or religious counseling
- Z71.82 Exercise counseling
- Z71.83 Encounter for nonprocreative genetic counseling
- Z71.84 Encounter for health counseling related to travel
- Z71.85 Encounter for immunization safety counseling
- Z71.87 Encounter for pediatric-to-adult transition counseling
- Z71.88 Encounter for counseling for socioeconomic factors
- Z71.89 Other specified counseling
- Z71.9 Counseling, unspecified
Z72 Problems related to lifestyle13 codes
- Z72.0 Tobacco use
- Z72.3 Lack of physical exercise
- Z72.4 Inappropriate diet and eating habits
- Z72.51 High risk heterosexual behavior
- Z72.52 High risk homosexual behavior
- Z72.53 High risk bisexual behavior
- Z72.6 Gambling and betting
- Z72.810 Child and adolescent antisocial behavior
- Z72.811 Adult antisocial behavior
- Z72.820 Sleep deprivation
- Z72.821 Inadequate sleep hygiene
- Z72.89 Other problems related to lifestyle
- Z72.9 Problem related to lifestyle, unspecified
Z73 Problems related to life management difficulty14 codes
- Z73.0 Burn-out
- Z73.1 Type A behavior pattern
- Z73.2 Lack of relaxation and leisure
- Z73.3 Stress, not elsewhere classified
- Z73.4 Inadequate social skills, not elsewhere classified
- Z73.5 Social role conflict, not elsewhere classified
- Z73.6 Limitation of activities due to disability
- Z73.810 Behavioral insomnia of childhood, sleep-onset association type
- Z73.811 Behavioral insomnia of childhood, limit setting type
- Z73.812 Behavioral insomnia of childhood, combined type
- Z73.819 Behavioral insomnia of childhood, unspecified type
- Z73.82 Dual sensory impairment
- Z73.89 Other problems related to life management difficulty
- Z73.9 Problem related to life management difficulty, unspecified
Z74 Problems related to care provider dependency1 code
- Z74.01 Bed confinement status
Z75 Problems related to medical facilities and other health care8 codes
- Z75.0 Medical services not available in home
- Z75.1 Person awaiting admission to adequate facility elsewhere
- Z75.2 Other waiting period for investigation and treatment
- Z75.3 Unavailability and inaccessibility of health-care facilities
- Z75.4 Unavailability and inaccessibility of other helping agencies
- Z75.5 Holiday relief care
- Z75.8 Other problems related to medical facilities and other health care
- Z75.9 Unspecified problem related to medical facilities and other health care
Z76 Persons encountering health services in other circumstances9 codes
- Z76.0 Encounter for issue of repeat prescription
- Z76.1 Encounter for health supervision and care of foundling
- Z76.2 Encounter for health supervision and care of other healthy infant and child
- Z76.3 Healthy person accompanying sick person
- Z76.4 Other boarder to healthcare facility
- Z76.5 Malingerer [conscious simulation]
- Z76.81 Expectant parent(s) prebirth pediatrician visit
- Z76.82 Awaiting organ transplant status
- Z76.89 Persons encountering health services in other specified circumstances
Questions About This Category
Why are these codes POA exempt?
The codes for persons encountering health services in other circumstances describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.
How many codes in this range are exempt?
The FY 2026 exempt list contains 78 codes in this range, effective October 1, 2025 through September 30, 2026.
Are these codes billable?
The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.
More POA Exempt Categories
Encounter for mental health services for victim and perpetrator of abuseCounseling related to sexual attitude, behavior and orientationPersons encountering health services for other counseling and medical advice, not elsewhere classifiedProblems related to lifestyleProblems related to life management difficultyProblems related to care provider dependencyProblems related to medical facilities and other health carePersons encountering health services in other circumstances All POA exempt categories →
Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.
