Z77.018 — Contact with and (suspected) exposure to other hazardous metals
Is Z77.018 billable?
Yes — Z77.018 is billable for FY2027. Z77.018 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z77.018 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z77.018 at a glance
| Code | Z77.018 |
|---|---|
| Description | Contact with and (suspected) exposure to other hazardous metals |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z77.018?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z77.018 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 Z77.018 group to?
Z77.018 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 Z77.018 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z77.018. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Contact › chromium compounds (with)
- Contact › hazardous metals NEC (with)
- Contact › nickel dust (with)
- Exposure › chromium compounds (to)
- Exposure › hazardous metals NEC (to)
- Exposure › nickel dust (to)
Inclusion terms
Alternative wording in documentation that is classified to Z77.018.
- Contact with and (suspected) exposure to chromium compounds
- Contact with and (suspected) exposure to nickel dust
Excludes2 — not included here — inherited from Z77
The conditions below are not part of Z77.018, but a patient may have both at the same time. When documentation supports it, Z77.018 and the excluded code may both be reported.
- contact with and (suspected) exposure to communicable diseases (Z20.-)
- exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81)
- newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
- occupational exposure to risk factors (Z57.-)
- retained foreign body (Z18.-)
- retained foreign body fully removed (Z87.821)
- toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z77.018 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z77.018 existed?
Z77.018 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.