2017/18 ICD-10-CM Diagnosis Code Z77

Other contact with and (suspected) exposures hazardous to health

Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z77) and the excluded code together.
  • contact with and (suspected) exposure to communicable diseases (
    ICD-10-CM Diagnosis Code Z20
    • Z20 Contact with and (suspected) exposure to comm...
      • Z20.0 Contact with and (suspected) exposure to inte...
        • Z20.01 Contact with and (suspected) exposure to inte...
        • Z20.09 Contact with and (suspected) exposure to othe...
      • Z20.1 Contact with and (suspected) exposure to tube...
      • Z20.2 Contact with and (suspected) exposure to infe...
      • Z20.3 Contact with and (suspected) exposure to rabi...
      • Z20.4 Contact with and (suspected) exposure to rube...
      • Z20.5 Contact with and (suspected) exposure to vira...
      • Z20.6 Contact with and (suspected) exposure to huma...
      • Z20.7 Contact with and (suspected) exposure to pedi...
      • Z20.8 Contact with and (suspected) exposure to othe...
        • Z20.81 Contact with and (suspected) exposure to othe...
          • Z20.810 Contact with and (suspected) exposure to anth...
          • Z20.811 Contact with and (suspected) exposure to meni...
          • Z20.818 Contact with and (suspected) exposure to othe...
        • Z20.82 Contact with and (suspected) exposure to othe...
          • Z20.820 Contact with and (suspected) exposure to vari...
          • Z20.828 Contact with and (suspected) exposure to othe...
        • Z20.89 Contact with and (suspected) exposure to othe...
      • Z20.9 Contact with and (suspected) exposure to unsp...
    Z20.-
    )
  • exposure to (parental) (environmental) tobacco smoke in the perinatal period (
    ICD-10-CM Diagnosis Code P96.81

    Exposure to (parental) (environmental) tobacco smoke in the perinatal period

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Type 2 Excludes
    • newborn affected by in utero exposure to tobacco (P04.2)
    • exposure to environmental tobacco smoke after the perinatal period (Z77.22)
    P96.81
    )
  • newborn affected by noxious substances transmitted via placenta or breast milk (
    ICD-10-CM Diagnosis Code P04
    • P04 Newborn affected by noxious substances transm...
      • P04.0 Newborn affected by maternal anesthesia and a...
      • P04.1 Newborn affected by other maternal medication...
      • P04.2 Newborn affected by maternal use of tobacco
      • P04.3 Newborn affected by maternal use of alcohol
      • P04.4 Newborn affected by maternal use of drugs of...
        • P04.41 Newborn affected by maternal use of cocaine
        • P04.49 Newborn affected by maternal use of other dru...
      • P04.5 Newborn affected by maternal use of nutrition...
      • P04.6 Newborn affected by maternal exposure to envi...
      • P04.8 Newborn affected by other maternal noxious su...
      • P04.9 Newborn affected by maternal noxious substanc...
    P04.-
    )
  • occupational exposure to risk factors (
    ICD-10-CM Diagnosis Code Z57
    • Z57 Occupational exposure to risk factors
      • Z57.0 Occupational exposure to noise
      • Z57.1 Occupational exposure to radiation
      • Z57.2 Occupational exposure to dust
      • Z57.3 Occupational exposure to other air contaminan...
        • Z57.31 Occupational exposure to environmental tobacc...
        • Z57.39 Occupational exposure to other air contaminan...
      • Z57.4 Occupational exposure to toxic agents in agri...
      • Z57.5 Occupational exposure to toxic agents in othe...
      • Z57.6 Occupational exposure to extreme temperature
      • Z57.7 Occupational exposure to vibration
      • Z57.8 Occupational exposure to other risk factors
      • Z57.9 Occupational exposure to unspecified risk fac...
    Z57.-
    )
  • retained foreign body (
    ICD-10-CM Diagnosis Code Z18
    • Z18 Retained foreign body fragments
      • Z18.0 Retained radioactive fragments
        • Z18.01 Retained depleted uranium fragments
        • Z18.09 Other retained radioactive fragments
      • Z18.1 Retained metal fragments
        • Z18.10 …… unspecified
        • Z18.11 Retained magnetic metal fragments
        • Z18.12 Retained nonmagnetic metal fragments
      • Z18.2 Retained plastic fragments
      • Z18.3 Retained organic fragments
        • Z18.31 Retained animal quills or spines
        • Z18.32 Retained tooth
        • Z18.33 Retained wood fragments
        • Z18.39 Other retained organic fragments
      • Z18.8 Other specified retained foreign body
        • Z18.81 Retained glass fragments
        • Z18.83 Retained stone or crystalline fragments
        • Z18.89 Other specified retained foreign body fragmen...
      • Z18.9 Retained foreign body fragments, unspecified ...
    Z18.-
    )
  • retained foreign body fully removed (
    ICD-10-CM Diagnosis Code Z87.821

    Personal history of retained foreign body fully removed

      2016 2017 2018 Billable/Specific Code POA Exempt
    Z87.821
    )
  • toxic effects of substances chiefly nonmedicinal as to source (T51-T65
    ICD-10-CM Range T51-T65

    Toxic effects of substances chiefly nonmedicinal as to source

    Note
    • When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
    Type 1 Excludes
    • contact with and (suspected) exposure to toxic substances (Z77.-)
    Use Additional
    • code(s):
    • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
    • personal history of foreign body fully removed (Z87.821)
    • to identify any retained foreign body, if applicable (Z18.-)
    • T51 Toxic effect of alcohol
    • T52 Toxic effect of organic solvents
    • T53 Toxic effect of halogen derivatives of a...
    • T54 Toxic effect of corrosive substances
    • T55 Toxic effect of soaps and detergents
    • T56 Toxic effect of metals
    • T57 Toxic effect of other inorganic substanc...
    • T58 Toxic effect of carbon monoxide
    • T59 Toxic effect of other gases, fumes and v...
    • T60 Toxic effect of pesticides
    • T61 Toxic effect of noxious substances eaten...
    • T62 Toxic effect of other noxious substances...
    • T63 Toxic effect of contact with venomous an...
    • T64 Toxic effect of aflatoxin and other myco...
    • T65 Toxic effect of other and unspecified su...
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • contact with and (suspected) exposures to potential hazards to health
The following code(s) above Z77 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z77:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2018 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Code History
Code annotations containing back-references to Z77:
ICD-10-CM Codes Adjacent To Z77
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]
Z76.8 Persons encountering health services in other specified circumstances
Z76.81 Expectant parent(s) prebirth pediatrician visit
Z76.82 Awaiting organ transplant status
Z76.89 Persons encountering health services in other specified circumstances
Z77 Other contact with and (suspected) exposures hazardous to health
Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals
Z77.01 Contact with and (suspected) exposure to hazardous metals
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
Z77.018 Contact with and (suspected) exposure to other hazardous metals
Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds
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

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.