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FY2027 ICD-10-CM reference

Z29: Encounter for other prophylactic measures

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Encounter for other prophylactic measures. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

Source: Z00-Z99 (chapter, inherited).

Instructional note

(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.

Source: Z00-Z99 (chapter, inherited).

Instructional note

(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: Z00-Z99 (chapter, inherited).

Excludes1

desensitization to allergens (Z51.6)

Source: Z29 (category, direct).

Excludes1

prophylactic surgery (Z40.-)

Source: Z29 (category, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does Z29 mean in FY2027?

The official ICD-10-CM descriptor is Encounter for other prophylactic measures. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is Z29 billable in FY2027?

The FY2027 order file marks Z29 as a nonbillable heading. Select a complete billable child code.

Does Z29 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition