ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z20.828

Billable / Specific

Contact with and (suspected) exposure to other viral communicable diseases

Z20
Block
0
Synonyms
83
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM Z20.828

ICD-10-CM code Z20.828 represents Contact with and (suspected) exposure to other viral communicable diseases. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z20). The 2026 edition of ICD-10-CM Z20.828 became effective on October 1, 2025.

Medicare LCD Coverage for Z20.828

Local Coverage Determinations (LCDs) from CMS MACs that list Z20.828 as a covered diagnosis.

83 LCDs

Showing top 10 of 83 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90636 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90476 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90738 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90680 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90696 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90710 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90621 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90714 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90733 →
CMS LCD: Billing and Coding: Immunizations
Article ID: 56900, Effective: 2025-10-01 00:00:00, 3214 covered, 0 non-covered
CPT 90697 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z20.828.

10 policies

5 Aetna

Hepatitis A Vaccine - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0048
Infertility
Policy ID: CPB-0327
Hepatitis B Vaccine
Policy ID: CPB-0410
HIV Testing
Policy ID: CPB-0542
Immune Globulins for Post-Exposure Prophylaxis
Policy ID: CPB-0544

1 Cigna

COVID-19: In Vitro Diagnostic Testing - (0557)
Policy ID: MM_0557

4 Medicare

Billing and Coding: Immunizations
Policy ID: ART-56900
Billing and Coding: Respiratory Pathogen Panel Testing
Policy ID: ART-58575
Billing and Coding: Respiratory Pathogen Panel Testing
Policy ID: ART-58577
Billing and Coding: Respiratory Pathogen Panel Testing
Policy ID: ART-58741

CPT Codes Commonly Billed with Z20.828

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z20.828

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Z20.828 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z20.828 V0179 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z20.828

Other codes in section Z20-Z29 (Persons with potential health hazards related to communicable diseases).

Z20 Contact with and (suspected) exposure to communicable diseases (non-billable) Z20.0 Contact with and (suspected) exposure to intestinal infectious diseases (non-billable) Z20.01 Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli) Z20.09 Contact with and (suspected) exposure to other intestinal infectious diseases Z20.1 Contact with and (suspected) exposure to tuberculosis Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission Z20.3 Contact with and (suspected) exposure to rabies Z20.4 Contact with and (suspected) exposure to rubella Z20.5 Contact with and (suspected) exposure to viral hepatitis Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV] Z20.7 Contact with and (suspected) exposure to pediculosis, acariasis and other infestations Z20.8 Contact with and (suspected) exposure to other communicable diseases (non-billable) Z20.81 Contact with and (suspected) exposure to other bacterial communicable diseases (non-billable) Z20.810 Contact with and (suspected) exposure to anthrax Z20.811 Contact with and (suspected) exposure to meningococcus Z20.818 Contact with and (suspected) exposure to other bacterial communicable diseases Z20.82 Contact with and (suspected) exposure to other viral communicable diseases (non-billable) Z20.820 Contact with and (suspected) exposure to varicella Z20.821 Contact with and (suspected) exposure to Zika virus Z20.822 Contact with and (suspected) exposure to COVID-19

ICD-10 Z20.828, Billing FAQ

Is ICD-10 code Z20.828 billable? +

Yes, Z20.828 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z20.828 map to? +

Per CMS GEMs, Z20.828 maps to ICD-9 codes: V0179. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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