2017/18 ICD-10-CM Diagnosis Code Z78

Other specified health status

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 (Z78) and the excluded code together.
  • asymptomatic human immunodeficiency virus [HIV] infection status (
    ICD-10-CM Diagnosis Code Z21

    Asymptomatic human immunodeficiency virus [HIV] infection status

      2016 2017 2018 Billable/Specific Code Questionable As Admission Dx
    Applicable To
    • HIV positive NOS
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Type 1 Excludes
    • acquired immunodeficiency syndrome (B20)
    • contact with human immunodeficiency virus [HIV] (Z20.6)
    • exposure to human immunodeficiency virus [HIV] (Z20.6)
    • human immunodeficiency virus [HIV] disease (B20)
    • inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)
    Z21
    )
  • postprocedural status (
    ICD-10-CM Diagnosis Code Z93

    Artificial opening status

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • artificial openings requiring attention or management (Z43.-)
    • complications of external stoma (J95.0-, K94.-, N99.5-)
    Z93
    -
    ICD-10-CM Diagnosis Code Z99

    Dependence on enabling machines and devices, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cardiac pacemaker status (Z95.0)
    Z99
    )
  • sex reassignment status (
    ICD-10-CM Diagnosis Code Z87.890

    Personal history of sex reassignment

      2016 2017 2018 Billable/Specific Code POA Exempt
    Z87.890
    )
The following code(s) above Z78 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 Z78:
  • 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
ICD-10-CM Codes Adjacent To Z78
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 occuring 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 substances
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
Z77.9 Other contact with and (suspected) exposures hazardous to health
Z78 Other specified health status
Z78.0 Asymptomatic menopausal state
Z78.1 Physical restraint status
Z78.9 Other specified health status
Z79 Long term (current) drug therapy
Z79.0 Long term (current) use of anticoagulants and antithrombotics/antiplatelets
Z79.01 Long term (current) use of anticoagulants
Z79.02 Long term (current) use of antithrombotics/antiplatelets
Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Z79.2 Long term (current) use of antibiotics
Z79.3 Long term (current) use of hormonal contraceptives

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