Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
Source: Definitions of Medicare Code Edits v44.0, edit 9.
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Codes on this list
2,666 codes, page 24 of 27.
- Z86.005Personal history of in-situ neoplasm of middle ear and respiratory system
- Z86.006Personal history of melanoma in-situ
- Z86.007Personal history of in-situ neoplasm of skin
- Z86.008Personal history of in-situ neoplasm of other site
- Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)
- Z86.0100Personal history of colon polyps, unspecified
- Z86.0101Personal history of adenomatous and serrated colon polyps
- Z86.0102Personal history of hyperplastic colon polyps
- Z86.0109Personal history of other colon polyps
- Z86.011Personal history of benign neoplasm of the brain
- Z86.012Personal history of benign carcinoid tumor
- Z86.018Personal history of other benign neoplasm
- Z86.03Personal history of neoplasm of uncertain behavior
- Z86.11Personal history of tuberculosis
- Z86.12Personal history of poliomyelitis
- Z86.13Personal history of malaria
- Z86.14Personal history of Methicillin resistant Staphylococcus aureus infection
- Z86.15Personal history of latent tuberculosis infection
- Z86.16Personal history of COVID-19
- Z86.17Personal history of Clostridioides difficile infection
- Z86.19Personal history of other infectious and parasitic diseases
- Z86.2Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z86.31Personal history of diabetic foot ulcer
- Z86.32Personal history of gestational diabetes
- Z86.39Personal history of other endocrine, nutritional and metabolic disease
- Z86.51Personal history of combat and operational stress reaction
- Z86.59Personal history of other mental and behavioral disorders
- Z86.61Personal history of infections of the central nervous system
- Z86.69Personal history of other diseases of the nervous system and sense organs
- Z86.711Personal history of pulmonary embolism
- Z86.718Personal history of other venous thrombosis and embolism
- Z86.72Personal history of thrombophlebitis
- Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
- Z86.74Personal history of sudden cardiac arrest
- Z86.79Personal history of other diseases of the circulatory system
- Z87.01Personal history of pneumonia (recurrent)
- Z87.09Personal history of other diseases of the respiratory system
- Z87.11Personal history of peptic ulcer disease
- Z87.19Personal history of other diseases of the digestive system
- Z87.2Personal history of diseases of the skin and subcutaneous tissue
- Z87.310Personal history of (healed) osteoporosis fracture
- Z87.311Personal history of (healed) other pathological fracture
- Z87.312Personal history of (healed) stress fracture
- Z87.39Personal history of other diseases of the musculoskeletal system and connective tissue
- Z87.410Personal history of cervical dysplasia
- Z87.411Personal history of vaginal dysplasia
- Z87.412Personal history of vulvar dysplasia
- Z87.42Personal history of other diseases of the female genital tract
- Z87.430Personal history of prostatic dysplasia
- Z87.438Personal history of other diseases of male genital organs
- Z87.440Personal history of urinary (tract) infections
- Z87.441Personal history of nephrotic syndrome
- Z87.442Personal history of urinary calculi
- Z87.448Personal history of other diseases of urinary system
- Z87.51Personal history of pre-term labor
- Z87.59Personal history of other complications of pregnancy, childbirth and the puerperium
- Z87.61Personal history of (corrected) necrotizing enterocolitis of newborn
- Z87.68Personal history of other (corrected) conditions arising in the perinatal period
- Z87.710Personal history of (corrected) hypospadias
- Z87.718Personal history of other specified (corrected) congenital malformations of genitourinary system
- Z87.720Personal history of (corrected) congenital malformations of eye
- Z87.721Personal history of (corrected) congenital malformations of ear
- Z87.728Personal history of other specified (corrected) congenital malformations of nervous system and sense organs
- Z87.730Personal history of (corrected) cleft lip and palate
- Z87.731Personal history of (corrected) tracheoesophageal fistula or atresia
- Z87.732Personal history of (corrected) persistent cloaca or cloacal malformations
- Z87.738Personal history of other specified (corrected) congenital malformations of digestive system
- Z87.74Personal history of (corrected) congenital malformations of heart and circulatory system
- Z87.75Personal history of (corrected) congenital malformations of respiratory system
- Z87.760Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations
- Z87.761Personal history of (corrected) gastroschisis
- Z87.762Personal history of (corrected) prune belly malformation
- Z87.763Personal history of other (corrected) congenital abdominal wall malformations
- Z87.768Personal history of other specified (corrected) congenital malformations of integument, limbs and musculoskeletal system
- Z87.790Personal history of (corrected) congenital malformations of face and neck
- Z87.798Personal history of other (corrected) congenital malformations
- Z87.81Personal history of (healed) traumatic fracture
- Z87.820Personal history of traumatic brain injury
- Z87.821Personal history of retained foreign body fully removed
- Z87.828Personal history of other (healed) physical injury and trauma
- Z87.8901Personal history of social gender transition
- Z87.8902Personal history of medical gender transition
- Z87.8903Personal history of surgical gender transition
- Z87.8904Personal history of intersex surgery
- Z87.8909Personal history of unspecified gender transition
- Z87.891Personal history of nicotine dependence
- Z87.892Personal history of anaphylaxis
- Z87.893Personal history of gender detransition
- Z87.898Personal history of other specified conditions
- Z88.0Allergy status to penicillin
- Z88.1Allergy status to other antibiotic agents
- Z88.2Allergy status to sulfonamides
- Z88.3Allergy status to other anti-infective agents
- Z88.4Allergy status to anesthetic agent
- Z88.5Allergy status to narcotic agent
- Z88.6Allergy status to analgesic agent
- Z88.7Allergy status to serum and vaccine
- Z88.8Allergy status to other drugs, medicaments and biological substances
- Z88.9Allergy status to unspecified drugs, medicaments and biological substances
- Z89.011Acquired absence of right thumb