ICDcodes.org
FY2027

Z71.1 — Person with feared health complaint in whom no diagnosis is made

Billable

Is Z71.1 billable?

Yes — Z71.1 is billable for FY2027. Z71.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z71.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z71.1 at a glance

CodeZ71.1
DescriptionPerson with feared health complaint in whom no diagnosis is made
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z71.1?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z71.1 directly.

Cannot be a principal diagnosis — MCE edit 9

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 Z71.1 group to?

Z71.1 sits in MDC 23 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.

  • 951Other Factors Influencing Health Statusmedical

How is Z71.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z71.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Feared complaint unfounded
  • Worried well
  • Problem › none (with) (related to)
  • Consultation › without complaint or sickness › feared complaint unfounded
  • Counseling › medical › feared complaint and no disease found (for)

Excludes1 — never code together

The conditions below can never be reported together with Z71.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • medical observation for suspected diseases and conditions proven not to exist (Z03.-)

Inclusion terms

Alternative wording in documentation that is classified to Z71.1.

  • Person encountering health services with feared condition which was not demonstrated
  • Person encountering health services in which problem was normal state
  • 'Worried well'

Excludes2 — not included here — inherited from Z71

The conditions below are not part of Z71.1, but a patient may have both at the same time. When documentation supports it, Z71.1 and the excluded code may both be reported.

  • contraceptive or procreation counseling (Z30-Z31)
  • sex counseling (Z70.-)

How long has Z71.1 existed?

Z71.1 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.

Which codes are confused with Z71.1?

ICD-10-CM declares these codes mutually exclusive with Z71.1 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to Z71.1?

What other codes are in the Z71 family? (9)