Z64.0 — Problems related to unwanted pregnancy
Is Z64.0 billable?
Yes — Z64.0 is billable for FY2027. Z64.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z64.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z64.0 at a glance
| Code | Z64.0 |
|---|---|
| Description | Problems related to unwanted pregnancy |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z64.0?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z64.0 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z64.0 group to?
Z64.0 sits in MDC 14 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.
- 770Abortion with D&C, Aspiration Curettage or Hysterotomysurgical
How is Z64.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z64.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pregnancy › unwanted (single) (uterine)
- Problem › illegitimate pregnancy (with) (related to)
- Problem › unwanted pregnancy (with) (related to)
- Unwanted › pregnancy
How long has Z64.0 existed?
Z64.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.