Present On Admission Exempt Codes
ICD-10-CM diagnosis codes exempt from POA reporting based on the official FY2026 CMS POA exempt list.
- Z13.42Billable
Encounter for screening for global developmental delays (milestones)
- Z13.49Billable
Encounter for screening for other developmental delays
- Z13.5Billable
Encounter for screening for eye and ear disorders
- Z13.6Billable
Encounter for screening for cardiovascular disorders
- Z13.71Billable
Encounter for nonprocreative screening for genetic disease carrier status
- Z13.79Billable
Encounter for other screening for genetic and chromosomal anomalies
- Z13.810Billable
Encounter for screening for upper gastrointestinal disorder
- Z13.811Billable
Encounter for screening for lower gastrointestinal disorder
- Z13.818Billable
Encounter for screening for other digestive system disorders
- Z13.820Billable
Encounter for screening for osteoporosis
- Z13.828Billable
Encounter for screening for other musculoskeletal disorder
- Z13.83Billable
Encounter for screening for respiratory disorder NEC
- Z13.84Billable
Encounter for screening for dental disorders
- Z13.850Billable
Encounter for screening for traumatic brain injury
- Z13.858Billable
Encounter for screening for other nervous system disorders
- Z13.88Billable
Encounter for screening for disorder due to exposure to contaminants
- Z13.89Billable
Encounter for screening for other disorder
- Z13.9Billable
Encounter for screening, unspecified
- Z14.01Billable
Asymptomatic hemophilia A carrier
- Z14.02Billable
Symptomatic hemophilia A carrier
- Z14.1Billable
Cystic fibrosis carrier
- Z14.8Billable
Genetic carrier of other disease
- Z15.01Billable
Genetic susceptibility to malignant neoplasm of breast
- Z15.02Billable
Genetic susceptibility to malignant neoplasm of ovary
- Z15.03Billable
Genetic susceptibility to malignant neoplasm of prostate
- Z15.04Billable
Genetic susceptibility to malignant neoplasm of endometrium
- Z15.05Billable
Genetic susceptibility to malignant neoplasm of fallopian tube(s)
- Z15.060Billable
Genetic susceptibility to colorectal cancer
- Z15.068Billable
Genetic susceptibility to other malignant neoplasm of digestive system
- Z15.07Billable
Genetic susceptibility to malignant neoplasm of urinary tract
- Z15.09Billable
Genetic susceptibility to other malignant neoplasm
- Z15.1Billable
Genetic susceptibility to epilepsy and neurodevelopmental disorders
- Z15.2Billable
Genetic susceptibility to obesity
- Z15.3Billable
Genetic susceptibility to kidney disease
- Z15.81Billable
Genetic susceptibility to multiple endocrine neoplasia [MEN]
- Z15.89Billable
Genetic susceptibility to other disease
- Z17.0Billable
Estrogen receptor positive status [ER+]
- Z17.1Billable
Estrogen receptor negative status [ER-]
- Z17.21Billable
Progesterone receptor positive status
- Z17.22Billable
Progesterone receptor negative status
- Z17.31Billable
Human epidermal growth factor receptor 2 positive status
- Z17.32Billable
Human epidermal growth factor receptor 2 negative status
- Z17.410Billable
Hormone receptor positive with human epidermal growth factor receptor 2 positive status
- Z17.411Billable
Hormone receptor positive with human epidermal growth factor receptor 2 negative status
- Z17.420Billable
Hormone receptor negative with human epidermal growth factor receptor 2 positive status
- Z17.421Billable
Hormone receptor negative with human epidermal growth factor receptor 2 negative status
- Z18.01Billable
Retained depleted uranium fragments
- Z18.09Billable
Other retained radioactive fragments
- Z18.10Billable
Retained metal fragments, unspecified
- Z18.11Billable
Retained magnetic metal fragments
- Z18.12Billable
Retained nonmagnetic metal fragments
- Z18.2Billable
Retained plastic fragments
- Z18.31Billable
Retained animal quills or spines
- Z18.32Billable
Retained tooth
- Z18.33Billable
Retained wood fragments
- Z18.39Billable
Other retained organic fragments
- Z18.81Billable
Retained glass fragments
- Z18.83Billable
Retained stone or crystalline fragments
- Z18.89Billable
Other specified retained foreign body fragments
- Z18.9Billable
Retained foreign body fragments, unspecified material
- Z19.1Billable
Hormone sensitive malignancy status
- Z19.2Billable
Hormone resistant malignancy status
- Z20.821Billable
Contact with and (suspected) exposure to Zika virus
- Z22.0Billable
Carrier of typhoid
- Z22.1Billable
Carrier of other intestinal infectious diseases
- Z22.2Billable
Carrier of diphtheria
- Z22.31Billable
Carrier of bacterial disease due to meningococci
- Z22.321Billable
Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus
- Z22.322Billable
Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus
- Z22.330Billable
Carrier of Group B streptococcus
- Z22.338Billable
Carrier of other streptococcus
- Z22.340Billable
Carrier of carbapenem-resistant Acinetobacter baumannii
- Z22.341Billable
Carrier of carbapenem-sensitive Acinetobacter baumannii
- Z22.349Billable
Carrier of Acinetobacter baumannii, unspecified
- Z22.350Billable
Carrier of carbapenem-resistant Enterobacterales
- Z22.358Billable
Carrier of other Enterobacterales
- Z22.359Billable
Carrier of Enterobacterales, unspecified
- Z22.39Billable
Carrier of other specified bacterial diseases
- Z22.4Billable
Carrier of infections with a predominantly sexual mode of transmission
- Z22.6Billable
Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
- Z22.7Billable
Latent tuberculosis
- Z22.8Billable
Carrier of other infectious diseases
- Z22.9Billable
Carrier of infectious disease, unspecified
- Z23Billable
Encounter for immunization
- Z28.01Billable
Immunization not carried out because of acute illness of patient
- Z28.02Billable
Immunization not carried out because of chronic illness or condition of patient
- Z28.03Billable
Immunization not carried out because of immune compromised state of patient
- Z28.04Billable
Immunization not carried out because of patient allergy to vaccine or component
- Z28.09Billable
Immunization not carried out because of other contraindication
- Z28.1Billable
Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.20Billable
Immunization not carried out because of patient decision for unspecified reason
- Z28.21Billable
Immunization not carried out because of patient refusal
- Z28.29Billable
Immunization not carried out because of patient decision for other reason
- Z28.310Billable
Unvaccinated for COVID-19
- Z28.311Billable
Partially vaccinated for COVID-19
- Z28.39Billable
Other underimmunization status
- Z28.81Billable
Immunization not carried out due to patient having had the disease
- Z28.82Billable
Immunization not carried out because of caregiver refusal
- Z28.83Billable
Immunization not carried out due to unavailability of vaccine
- Z28.89Billable
Immunization not carried out for other reason
