Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- Z86.0109Billable
Personal history of other colon polyps
- Z86.011Billable
Personal history of benign neoplasm of the brain
- Z86.012Billable
Personal history of benign carcinoid tumor
- Z86.018Billable
Personal history of other benign neoplasm
- Z86.03Billable
Personal history of neoplasm of uncertain behavior
- Z86.11Billable
Personal history of tuberculosis
- Z86.12Billable
Personal history of poliomyelitis
- Z86.13Billable
Personal history of malaria
- Z86.14Billable
Personal history of Methicillin resistant Staphylococcus aureus infection
- Z86.15Billable
Personal history of latent tuberculosis infection
- Z86.16Billable
Personal history of COVID-19
- Z86.19Billable
Personal history of other infectious and parasitic diseases
- Z86.2Billable
Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z86.31Billable
Personal history of diabetic foot ulcer
- Z86.32Billable
Personal history of gestational diabetes
- Z86.39Billable
Personal history of other endocrine, nutritional and metabolic disease
- Z86.51Billable
Personal history of combat and operational stress reaction
- Z86.59Billable
Personal history of other mental and behavioral disorders
- Z86.61Billable
Personal history of infections of the central nervous system
- Z86.69Billable
Personal history of other diseases of the nervous system and sense organs
- Z86.711Billable
Personal history of pulmonary embolism
- Z86.718Billable
Personal history of other venous thrombosis and embolism
- Z86.72Billable
Personal history of thrombophlebitis
- Z86.73Billable
Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
- Z86.74Billable
Personal history of sudden cardiac arrest
- Z86.79Billable
Personal history of other diseases of the circulatory system
- Z87.01Billable
Personal history of pneumonia (recurrent)
- Z87.09Billable
Personal history of other diseases of the respiratory system
- Z87.11Billable
Personal history of peptic ulcer disease
- Z87.19Billable
Personal history of other diseases of the digestive system
- Z87.2Billable
Personal history of diseases of the skin and subcutaneous tissue
- Z87.310Billable
Personal history of (healed) osteoporosis fracture
- Z87.311Billable
Personal history of (healed) other pathological fracture
- Z87.312Billable
Personal history of (healed) stress fracture
- Z87.39Billable
Personal history of other diseases of the musculoskeletal system and connective tissue
- Z87.410Billable
Personal history of cervical dysplasia
- Z87.411Billable
Personal history of vaginal dysplasia
- Z87.412Billable
Personal history of vulvar dysplasia
- Z87.42Billable
Personal history of other diseases of the female genital tract
- Z87.430Billable
Personal history of prostatic dysplasia
- Z87.438Billable
Personal history of other diseases of male genital organs
- Z87.440Billable
Personal history of urinary (tract) infections
- Z87.441Billable
Personal history of nephrotic syndrome
- Z87.442Billable
Personal history of urinary calculi
- Z87.448Billable
Personal history of other diseases of urinary system
- Z87.51Billable
Personal history of pre-term labor
- Z87.59Billable
Personal history of other complications of pregnancy, childbirth and the puerperium
- Z87.61Billable
Personal history of (corrected) necrotizing enterocolitis of newborn
- Z87.68Billable
Personal history of other (corrected) conditions arising in the perinatal period
- Z87.710Billable
Personal history of (corrected) hypospadias
- Z87.718Billable
Personal history of other specified (corrected) congenital malformations of genitourinary system
- Z87.720Billable
Personal history of (corrected) congenital malformations of eye
- Z87.721Billable
Personal history of (corrected) congenital malformations of ear
- Z87.728Billable
Personal history of other specified (corrected) congenital malformations of nervous system and sense organs
- Z87.730Billable
Personal history of (corrected) cleft lip and palate
- Z87.731Billable
Personal history of (corrected) tracheoesophageal fistula or atresia
- Z87.732Billable
Personal history of (corrected) persistent cloaca or cloacal malformations
- Z87.738Billable
Personal history of other specified (corrected) congenital malformations of digestive system
- Z87.74Billable
Personal history of (corrected) congenital malformations of heart and circulatory system
- Z87.75Billable
Personal history of (corrected) congenital malformations of respiratory system
- Z87.760Billable
Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations
- Z87.761Billable
Personal history of (corrected) gastroschisis
- Z87.762Billable
Personal history of (corrected) prune belly malformation
- Z87.763Billable
Personal history of other (corrected) congenital abdominal wall malformations
- Z87.768Billable
Personal history of other specified (corrected) congenital malformations of integument, limbs and musculoskeletal system
- Z87.790Billable
Personal history of (corrected) congenital malformations of face and neck
- Z87.798Billable
Personal history of other (corrected) congenital malformations
- Z87.81Billable
Personal history of (healed) traumatic fracture
- Z87.820Billable
Personal history of traumatic brain injury
- Z87.821Billable
Personal history of retained foreign body fully removed
- Z87.828Billable
Personal history of other (healed) physical injury and trauma
- Z87.891Billable
Personal history of nicotine dependence
- Z87.892Billable
Personal history of anaphylaxis
- Z87.898Billable
Personal history of other specified conditions
- Z88.0Billable
Allergy status to penicillin
- Z88.1Billable
Allergy status to other antibiotic agents
- Z88.2Billable
Allergy status to sulfonamides
- Z88.3Billable
Allergy status to other anti-infective agents
- Z88.4Billable
Allergy status to anesthetic agent
- Z88.5Billable
Allergy status to narcotic agent
- Z88.6Billable
Allergy status to analgesic agent
- Z88.7Billable
Allergy status to serum and vaccine
- Z88.8Billable
Allergy status to other drugs, medicaments and biological substances
- Z88.9Billable
Allergy status to unspecified drugs, medicaments and biological substances
- Z89.011Billable
Acquired absence of right thumb
- Z89.012Billable
Acquired absence of left thumb
- Z89.019Billable
Acquired absence of unspecified thumb
- Z89.021Billable
Acquired absence of right finger(s)
- Z89.022Billable
Acquired absence of left finger(s)
- Z89.029Billable
Acquired absence of unspecified finger(s)
- Z89.111Billable
Acquired absence of right hand
- Z89.112Billable
Acquired absence of left hand
- Z89.119Billable
Acquired absence of unspecified hand
- Z89.121Billable
Acquired absence of right wrist
- Z89.122Billable
Acquired absence of left wrist
- Z89.129Billable
Acquired absence of unspecified wrist
- Z89.201Billable
Acquired absence of right upper limb, unspecified level
- Z89.202Billable
Acquired absence of left upper limb, unspecified level
- Z89.209Billable
Acquired absence of unspecified upper limb, unspecified level
- Z89.211Billable
Acquired absence of right upper limb below elbow
