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 26 of 27.
- Z91.413Personal history of adult financial abuse
- Z91.414Personal history of adult intimate partner abuse
- Z91.419Personal history of unspecified adult abuse
- Z91.42Personal history of forced labor or sexual exploitation
- Z91.49Other personal history of psychological trauma, not elsewhere classified
- Z91.51Personal history of suicidal behavior
- Z91.52Personal history of nonsuicidal self-harm
- Z91.81History of falling
- Z91.82Personal history of military deployment
- Z91.841Risk for dental caries, low
- Z91.842Risk for dental caries, moderate
- Z91.843Risk for dental caries, high
- Z91.849Unspecified risk for dental caries
- Z91.85Personal history of military service
- Z91.89Other specified personal risk factors, not elsewhere classified
- Z91.A10Caregiver's noncompliance with patient's dietary regimen due to financial hardship
- Z91.A18Caregiver's noncompliance with patient's dietary regimen for other reason
- Z91.A20Caregiver's intentional underdosing of patient's medication regimen due to financial hardship
- Z91.A28Caregiver's intentional underdosing of medication regimen for other reason
- Z91.A3Caregiver's unintentional underdosing of patient's medication regimen
- Z91.A41Caregiver's other noncompliance with patient's medication regimen due to financial hardship
- Z91.A48Caregiver's other noncompliance with patient's medication regimen for other reason
- Z91.A51Caregiver's noncompliance with patient's renal dialysis due to financial hardship
- Z91.A58Caregiver's noncompliance with patient's renal dialysis for other reason
- Z91.A91Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship
- Z91.A98Caregiver's noncompliance with patient's other medical treatment and regimen for other reason
- Z91.BPersonal risk factor of exposure to diethylstilbestrol
- Z92.0Personal history of contraception
- Z92.21Personal history of antineoplastic chemotherapy
- Z92.22Personal history of monoclonal drug therapy
- Z92.23Personal history of estrogen therapy
- Z92.240Personal history of inhaled steroid therapy
- Z92.241Personal history of systemic steroid therapy
- Z92.25Personal history of immunosuppression therapy
- Z92.26Personal history of immune checkpoint inhibitor therapy
- Z92.29Personal history of other drug therapy
- Z92.3Personal history of irradiation
- Z92.81Personal history of extracorporeal membrane oxygenation (ECMO)
- Z92.82Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
- Z92.83Personal history of failed moderate sedation
- Z92.84Personal history of unintended awareness under general anesthesia
- Z92.850Personal history of Chimeric Antigen Receptor T-cell therapy
- Z92.858Personal history of other cellular therapy
- Z92.859Personal history of cellular therapy, unspecified
- Z92.86Personal history of gene therapy
- Z92.89Personal history of other medical treatment
- Z93.0Tracheostomy status
- Z93.1Gastrostomy status
- Z93.2Ileostomy status
- Z93.3Colostomy status
- Z93.4Other artificial openings of gastrointestinal tract status
- Z93.50Unspecified cystostomy status
- Z93.51Cutaneous-vesicostomy status
- Z93.52Appendico-vesicostomy status
- Z93.59Other cystostomy status
- Z93.6Other artificial openings of urinary tract status
- Z93.8Other artificial opening status
- Z93.9Artificial opening status, unspecified
- Z94.0Kidney transplant status
- Z94.1Heart transplant status
- Z94.2Lung transplant status
- Z94.3Heart and lungs transplant status
- Z94.4Liver transplant status
- Z94.5Skin transplant status
- Z94.6Bone transplant status
- Z94.7Corneal transplant status
- Z94.81Bone marrow transplant status
- Z94.82Intestine transplant status
- Z94.83Pancreas transplant status
- Z94.84Stem cells transplant status
- Z94.89Other transplanted organ and tissue status
- Z94.9Transplanted organ and tissue status, unspecified
- Z95.0Presence of cardiac pacemaker
- Z95.1Presence of aortocoronary bypass graft
- Z95.2Presence of prosthetic heart valve
- Z95.3Presence of xenogenic heart valve
- Z95.4Presence of other heart-valve replacement
- Z95.5Presence of coronary angioplasty implant and graft
- Z95.810Presence of automatic (implantable) cardiac defibrillator
- Z95.811Presence of heart assist device
- Z95.812Presence of fully implantable artificial heart
- Z95.818Presence of other cardiac implants and grafts
- Z95.820Peripheral vascular angioplasty status with implants and grafts
- Z95.828Presence of other vascular implants and grafts
- Z95.9Presence of cardiac and vascular implant and graft, unspecified
- Z96.0Presence of urogenital implants
- Z96.1Presence of intraocular lens
- Z96.20Presence of otological and audiological implant, unspecified
- Z96.21Cochlear implant status
- Z96.22Myringotomy tube(s) status
- Z96.29Presence of other otological and audiological implants
- Z96.3Presence of artificial larynx
- Z96.41Presence of insulin pump (external) (internal)
- Z96.49Presence of other endocrine implants
- Z96.5Presence of tooth-root and mandibular implants
- Z96.60Presence of unspecified orthopedic joint implant
- Z96.611Presence of right artificial shoulder joint
- Z96.612Presence of left artificial shoulder joint
- Z96.619Presence of unspecified artificial shoulder joint
- Z96.621Presence of right artificial elbow joint