ICDcodes.org
FY2027

Z05.81Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out

Billable

Is Z05.81 billable?

Yes — Z05.81 is billable for FY2027. Z05.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z05.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z05.81 at a glance

CodeZ05.81
DescriptionObservation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does Z05.81 group to?

Z05.81 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 795Normal Newbornmedical

How is Z05.81 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z05.81. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewborn (with health service) (for)
  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewbornapnea alarm (with health service) (for)
  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewbornbradycardia alarm (with health service) (for)
  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewbornmalfunction of home cardiorespiratory monitor (with health service) (for)
  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewbornnon-specific findings home physiologic monitoring device (with health service) (for)
  • Encounterobservationcondition suspected related to home physiologic monitoring devicenewbornpulse oximeter alarm without findings (with health service) (for)

Excludes1 — never code together

The conditions below can never be reported together with Z05.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • encounter for observation for suspected conditions related to home physiologic monitoring device ruled out (Z03.83)
  • neonatal bradycardia (P29.12)
  • other newborn apnea (P28.4-)
  • primary sleep apnea of newborn (P28.3-)

Inclusion terms

Alternative wording in documentation that is classified to Z05.81.

  • Encounter for observation of newborn for apnea alarm without findings
  • Encounter for observation of newborn for bradycardia alarm without findings
  • Encounter for observation of newborn for malfunction of home cardiorespiratory monitor
  • Encounter for observation of newborn for non-specific findings home physiologic monitoring device
  • Encounter for observation of newborn for pulse oximeter alarm without findings

Excludes2 — not included here — inherited from Z00-Z13

The conditions below are not part of Z05.81, but a patient may have both at the same time. When documentation supports it, Z05.81 and the excluded code may both be reported.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

How long has Z05.81 existed?

Z05.81 first appears in FY2024.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the Z05.8 family? (1)