Coding and coverage · ICD-10-CM

Z75 Problems related to medical facilities and other health care

Not billable (header)Chapter 21

Report one of the more specific codes below.

Codes under this one

  • Z75.0 Medical services not available in home
  • Z75.1 Person awaiting admission to adequate facility elsewhere
  • Z75.2 Other waiting period for investigation and treatment
  • Z75.3 Unavailability and inaccessibility of health-care facilities
  • Z75.4 Unavailability and inaccessibility of other helping agencies
  • Z75.5 Holiday relief care
  • Z75.8 Other problems related to medical facilities and other health care
  • Z75.9 Unspecified problem related to medical facilities and other health care

Instructional notes

Chapter 21

Notes
  • 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:
  • (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.
  • (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.

Chapter 21: Factors influencing health status and contact with health services · Z69-Z76 Persons encountering health services in other circumstances (Z69-Z76)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.