Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- Z15.81Billable
Genetic susceptibility to multiple endocrine neoplasia [MEN]
- Z15.89Billable
Genetic susceptibility to other disease
- Z16.10Billable
Resistance to unspecified beta lactam antibiotics
- Z16.11Billable
Resistance to penicillins
- Z16.12Billable
Extended spectrum beta lactamase (ESBL) resistance
- Z16.13Billable
Resistance to carbapenem
- Z16.19Billable
Resistance to other specified beta lactam antibiotics
- Z16.20Billable
Resistance to unspecified antibiotic
- Z16.21Billable
Resistance to vancomycin
- Z16.22Billable
Resistance to vancomycin related antibiotics
- Z16.23Billable
Resistance to quinolones and fluoroquinolones
- Z16.24Billable
Resistance to multiple antibiotics
- Z16.29Billable
Resistance to other single specified antibiotic
- Z16.30Billable
Resistance to unspecified antimicrobial drugs
- Z16.31Billable
Resistance to antiparasitic drug(s)
- Z16.32Billable
Resistance to antifungal drug(s)
- Z16.33Billable
Resistance to antiviral drug(s)
- Z16.341Billable
Resistance to single antimycobacterial drug
- Z16.342Billable
Resistance to multiple antimycobacterial drugs
- Z16.35Billable
Resistance to multiple antimicrobial drugs
- Z16.39Billable
Resistance to other specified antimicrobial drug
- 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
- Z20.09Billable
Contact with and (suspected) exposure to other intestinal infectious diseases
- Z20.1Billable
Contact with and (suspected) exposure to tuberculosis
- Z20.2Billable
Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Z20.3Billable
Contact with and (suspected) exposure to rabies
- Z20.4Billable
Contact with and (suspected) exposure to rubella
- Z20.7Billable
Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
- Z20.810Billable
Contact with and (suspected) exposure to anthrax
- Z20.818Billable
Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20.821Billable
Contact with and (suspected) exposure to Zika virus
- Z20.822Billable
Contact with and (suspected) exposure to COVID-19
- Z20.89Billable
Contact with and (suspected) exposure to other communicable diseases
- Z20.9Billable
Contact with and (suspected) exposure to unspecified communicable disease
- 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
- Z28.9Billable
Immunization not carried out for unspecified reason
- Z29.11Billable
Encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV)
- Z29.12Billable
Encounter for prophylactic antivenin
- Z29.13Billable
Encounter for prophylactic Rho(D) immune globulin
