Z76.81 — Expectant parent(s) prebirth pediatrician visit
Is Z76.81 billable?
Yes — Z76.81 is billable for FY2027. Z76.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z76.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z76.81 at a glance
| Code | Z76.81 |
|---|---|
| Description | Expectant parent(s) prebirth pediatrician visit |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z76.81?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z76.81 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 Z76.81 group to?
Z76.81 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 Z76.81 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z76.81. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Encounter › expectant parentpre-birth pediatrician visit (with health service) (for)
- Encounter › pediatrician visit, by expectant parent (with health service) (for)
Inclusion terms
Alternative wording in documentation that is classified to Z76.81.
- Pre-adoption pediatrician visit for adoptive parent(s)
How long has Z76.81 existed?
Z76.81 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.