Z3A.42
Billable42 weeks gestation of pregnancy
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z3A.42 an HCC code?
No. Z3A.42 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z3A.42 is the ICD-10-CM diagnosis code for 42 weeks gestation of pregnancy. A pregnancy that has progressed to 42 weeks of gestation, which is significantly post-term and typically requires delivery intervention. Z3A.42 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in circumstances related to reproduction (z30-z39).
Z3A.42 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This gestational age indicates prolonged pregnancy; ensure appropriate clinical management codes are documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z3A.42 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This gestational age indicates prolonged pregnancy; ensure appropriate clinical management codes are documented
- •Use with codes for post-term pregnancy complications or labor induction procedures