2023

  1. ICD-10-CM Codes
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  2. Z00-Z99
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  5. 2023 ICD-10-CM Diagnosis Code Z76.5

2023 ICD-10-CM Diagnosis Code Z76.5

Malingerer [conscious simulation]

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z76.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z76.5 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z76.5 - other international versions of ICD-10 Z76.5 may differ.
Applicable To
  • Person feigning illness (with obvious motivation)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z76.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • factitious disorder (
    ICD-10-CM Diagnosis Code F68.1

    Factitious disorder imposed on self

      2016 2017 2018 2019 - Revised Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Compensation neurosis
    • Elaboration of physical symptoms for psychological reasons
    • Hospital hopper syndrome
    • Münchausen's syndrome
    • Peregrinating patient
    Type 2 Excludes
    • factitial dermatitis (L98.1)
    • person feigning illness (with obvious motivation) (Z76.5)
    F68.1-
    ,
    ICD-10-CM Diagnosis Code F68.A

    Factitious disorder imposed on another

      2019 - New Code 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Factitious disorder by proxy
    • Münchausen's by proxy
    F68.A
    )
  • peregrinating patient (
    ICD-10-CM Diagnosis Code F68.1

    Factitious disorder imposed on self

      2016 2017 2018 2019 - Revised Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Compensation neurosis
    • Elaboration of physical symptoms for psychological reasons
    • Hospital hopper syndrome
    • Münchausen's syndrome
    • Peregrinating patient
    Type 2 Excludes
    • factitial dermatitis (L98.1)
    • person feigning illness (with obvious motivation) (Z76.5)
    F68.1-
    )
The following code(s) above Z76.5 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 Z76.5:
  • Z00-Z99
    2023 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
Approximate Synonyms
  • Malingering
  • Person feigning illness
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z76.5 is considered exempt from POA reporting.
ICD-10-CM Z76.5 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z76.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to Z76.5:
  • Type 2 Excludes: F44
    , F68.1
    , F45
    ICD-10-CM Diagnosis Code F44

    Dissociative and conversion disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • conversion hysteria
    • conversion reaction
    • hysteria
    • hysterical psychosis
    Type 2 Excludes
    • malingering [conscious simulation] (Z76.5)
    ICD-10-CM Diagnosis Code F68.1

    Factitious disorder imposed on self

      2016 2017 2018 2019 - Revised Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Compensation neurosis
    • Elaboration of physical symptoms for psychological reasons
    • Hospital hopper syndrome
    • Münchausen's syndrome
    • Peregrinating patient
    Type 2 Excludes
    • factitial dermatitis (L98.1)
    • person feigning illness (with obvious motivation) (Z76.5)
    ICD-10-CM Diagnosis Code F45

    Somatoform disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • dissociative and conversion disorders (F44.-)
    • factitious disorders (F68.1-, F68.A)
    • hair-plucking (F63.3)
    • lalling (F80.0)
    • lisping (F80.0)
    • malingering [conscious simulation] (Z76.5)
    • nail-biting (F98.8)
    • psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)
    • sexual dysfunction, not due to a substance or known physiological condition (F52.-)
    • thumb-sucking (F98.8)
    • tic disorders (in childhood and adolescence) (F95.-)
    • Tourette's syndrome (F95.2)
    • trichotillomania (F63.3)

Diagnosis Index entries containing back-references to Z76.5:
  • Behavior
    • drug seeking Z76.5
  • Conscious simulation Z76.5 (of illness)
  • Disorder (of) - see also Disease
    • feigned (with obvious motivation) Z76.5
  • Feigned illness Z76.5
  • Malingerer, malingering Z76.5
  • Person (with)
    • feigning illness Z76.5
  • Problem (with) (related to)
    • behavioral (adult) F69
      ICD-10-CM Diagnosis Code F69

      Unspecified disorder of adult personality and behavior

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
      • drug seeking Z76.5
  • Simulation, conscious Z76.5 (of illness)

ICD-10-CM Codes Adjacent To Z76.5
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 circumstances
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

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

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