Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- Z67.A1Billable
Duffy null
- Z67.A2Billable
Duffy a positive
- Z67.A3Billable
Duffy b positive
- Z67.A4Billable
Duffy a and b positive
- Z68.1Billable
Body mass index [BMI] 19.9 or less, adult
- Z68.20Billable
Body mass index [BMI] 20.0-20.9, adult
- Z68.21Billable
Body mass index [BMI] 21.0-21.9, adult
- Z68.22Billable
Body mass index [BMI] 22.0-22.9, adult
- Z68.23Billable
Body mass index [BMI] 23.0-23.9, adult
- Z68.24Billable
Body mass index [BMI] 24.0-24.9, adult
- Z68.25Billable
Body mass index [BMI] 25.0-25.9, adult
- Z68.26Billable
Body mass index [BMI] 26.0-26.9, adult
- Z68.27Billable
Body mass index [BMI] 27.0-27.9, adult
- Z68.28Billable
Body mass index [BMI] 28.0-28.9, adult
- Z68.29Billable
Body mass index [BMI] 29.0-29.9, adult
- Z68.30Billable
Body mass index [BMI] 30.0-30.9, adult
- Z68.31Billable
Body mass index [BMI] 31.0-31.9, adult
- Z68.32Billable
Body mass index [BMI] 32.0-32.9, adult
- Z68.33Billable
Body mass index [BMI] 33.0-33.9, adult
- Z68.34Billable
Body mass index [BMI] 34.0-34.9, adult
- Z68.35Billable
Body mass index [BMI] 35.0-35.9, adult
- Z68.36Billable
Body mass index [BMI] 36.0-36.9, adult
- Z68.37Billable
Body mass index [BMI] 37.0-37.9, adult
- Z68.38Billable
Body mass index [BMI] 38.0-38.9, adult
- Z68.39Billable
Body mass index [BMI] 39.0-39.9, adult
- Z68.41Billable
Body mass index [BMI] 40.0-44.9, adult
- Z68.42Billable
Body mass index [BMI] 45.0-49.9, adult
- Z68.43Billable
Body mass index [BMI] 50.0-59.9, adult
- Z68.44Billable
Body mass index [BMI] 60.0-69.9, adult
- Z68.45Billable
Body mass index [BMI] 70 or greater, adult
- Z68.51Billable
Body mass index [BMI] pediatric, less than 5th percentile for age
- Z68.52Billable
Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age
- Z68.53Billable
Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age
- Z68.54Billable
Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for age
- Z68.55Billable
Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age
- Z68.56Billable
Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age
- Z69.011Billable
Encounter for mental health services for perpetrator of parental child abuse
- Z69.021Billable
Encounter for mental health services for perpetrator of non-parental child abuse
- Z69.11Billable
Encounter for mental health services for victim of spousal or partner abuse
- Z69.12Billable
Encounter for mental health services for perpetrator of spousal or partner abuse
- Z69.81Billable
Encounter for mental health services for victim of other abuse
- Z69.82Billable
Encounter for mental health services for perpetrator of other abuse
- Z70.0Billable
Counseling related to sexual attitude
- Z70.1Billable
Counseling related to patient's sexual behavior and orientation
- Z70.2Billable
Counseling related to sexual behavior and orientation of third party
- Z70.3Billable
Counseling related to combined concerns regarding sexual attitude, behavior and orientation
- Z70.8Billable
Other sex counseling
- Z70.9Billable
Sex counseling, unspecified
- Z71.0Billable
Person encountering health services to consult on behalf of another person
- Z71.1Billable
Person with feared health complaint in whom no diagnosis is made
- Z71.2Billable
Person consulting for explanation of examination or test findings
- Z71.3Billable
Dietary counseling and surveillance
- Z71.41Billable
Alcohol abuse counseling and surveillance of alcoholic
- Z71.42Billable
Counseling for family member of alcoholic
- Z71.51Billable
Drug abuse counseling and surveillance of drug abuser
- Z71.52Billable
Counseling for family member of drug abuser
- Z71.6Billable
Tobacco abuse counseling
- Z71.7Billable
Human immunodeficiency virus [HIV] counseling
- Z71.81Billable
Spiritual or religious counseling
- Z71.82Billable
Exercise counseling
- Z71.84Billable
Encounter for health counseling related to travel
- Z71.85Billable
Encounter for immunization safety counseling
- Z71.87Billable
Encounter for pediatric-to-adult transition counseling
- Z71.88Billable
Encounter for counseling for socioeconomic factors
- Z71.89Billable
Other specified counseling
- Z71.9Billable
Counseling, unspecified
- Z72.0Billable
Tobacco use
- Z72.3Billable
Lack of physical exercise
- Z72.4Billable
Inappropriate diet and eating habits
- Z72.51Billable
High risk heterosexual behavior
- Z72.52Billable
High risk homosexual behavior
- Z72.53Billable
High risk bisexual behavior
- Z72.6Billable
Gambling and betting
- Z72.821Billable
Inadequate sleep hygiene
- Z72.823Billable
Risk of suffocation (smothering) under another while sleeping
- Z72.89Billable
Other problems related to lifestyle
- Z72.9Billable
Problem related to lifestyle, unspecified
- Z73.0Billable
Burn-out
- Z73.1Billable
Type A behavior pattern
- Z73.2Billable
Lack of relaxation and leisure
- Z73.3Billable
Stress, not elsewhere classified
- Z73.4Billable
Inadequate social skills, not elsewhere classified
- Z73.5Billable
Social role conflict, not elsewhere classified
- Z73.6Billable
Limitation of activities due to disability
- Z73.810Billable
Behavioral insomnia of childhood, sleep-onset association type
- Z73.811Billable
Behavioral insomnia of childhood, limit setting type
- Z73.812Billable
Behavioral insomnia of childhood, combined type
- Z73.819Billable
Behavioral insomnia of childhood, unspecified type
- Z73.82Billable
Dual sensory impairment
- Z73.89Billable
Other problems related to life management difficulty
- Z73.9Billable
Problem related to life management difficulty, unspecified
- Z74.01Billable
Bed confinement status
- Z74.09Billable
Other reduced mobility
- Z74.1Billable
Need for assistance with personal care
- Z74.2Billable
Need for assistance at home and no other household member able to render care
- Z74.3Billable
Need for continuous supervision
- Z74.8Billable
Other problems related to care provider dependency
- Z74.9Billable
Problem related to care provider dependency, unspecified
- Z75.0Billable
Medical services not available in home
- Z75.1Billable
Person awaiting admission to adequate facility elsewhere
