Z76.0 — Encounter for issue of repeat prescription
Is Z76.0 billable?
Yes — Z76.0 is billable for FY2027. Z76.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z76.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z76.0 at a glance
| Code | Z76.0 |
|---|---|
| Description | Encounter for issue of repeat prescription |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z76.0?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z76.0 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 Z76.0 group to?
Z76.0 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 Z76.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z76.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Issue of › repeat prescription
Excludes2 — not included here
The conditions below are not part of Z76.0, but a patient may have both at the same time. When documentation supports it, Z76.0 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to Z76.0.
- Encounter for issue of repeat prescription for appliance
- Encounter for issue of repeat prescription for medicaments
- Encounter for issue of repeat prescription for spectacles
How long has Z76.0 existed?
Z76.0 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.
What other codes are in the Z76 family? (6)
- Z76.1Encounter for health supervision and care of foundling
- Z76.2Encounter for health supervision and care of other healthy infant and child
- Z76.3Healthy person accompanying sick person
- Z76.4Other boarder to healthcare facility
- Z76.5Malingerer [conscious simulation]
- Z76.8Persons encountering health services in other specified circumstancesnot billable