ICDcodes.org
FY2027

Z71.87 — Encounter for pediatric-to-adult transition counseling

Billable

Is Z71.87 billable?

Yes — Z71.87 is billable for FY2027. Z71.87 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z71.87 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z71.87 at a glance

CodeZ71.87
DescriptionEncounter for pediatric-to-adult transition counseling
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z71.87?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z71.87 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 Z71.87 group to?

Z71.87 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 Z71.87 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z71.87. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Counseling › pediatric-to-adult transition (for)

Code also

Two codes may be needed to describe the condition fully. Whether Z71.87 is sequenced first depends on the reason for the encounter.

  • chronic condition, if applicable, such as:
  • autism spectrum disorder (F84.0)
  • congenital malformations of the circulatory system (Q20-Q28)
  • cystic fibrosis (E84.-)
  • sickle-cell disorder (D57.-)

Excludes2 — not included here — inherited from Z71

The conditions below are not part of Z71.87, but a patient may have both at the same time. When documentation supports it, Z71.87 and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from Z71.8

The conditions below are not part of Z71.87, but a patient may have both at the same time. When documentation supports it, Z71.87 and the excluded code may both be reported.

  • counseling for contraception (Z30.0-)

How long has Z71.87 existed?

Z71.87 first appears in FY2023.

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

Which conditions are coded to Z71.87?

What other codes are in the Z71.8 family? (7)