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

ICD-10 Z33.1

Billable / Specific

Pregnant state, incidental

Z33
Block
2
Synonyms
569
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM Z33.1

ICD-10-CM code Z33.1 represents Pregnant state, incidental. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z33). The 2026 edition of ICD-10-CM Z33.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z33.1. Per CMS ICD-10-CM Tabular 2026.

  • Pregnancy NOS
  • Pregnant state NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z33.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • complications of pregnancy (O00-O9A)
  • pregnant state, gestational carrier (Z33.3)

Medicare LCD Coverage for Z33.1

Local Coverage Determinations (LCDs) from CMS MACs that list Z33.1 as a covered diagnosis.

569 LCDs

Showing top 10 of 569 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87801 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87798 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 86794 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87662 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 86790 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1459 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1573 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1552 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1566 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1557 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z33.1.

8 policies

2 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Policy ID: ART-55326
Billing and Coding: Immune Globulins
Policy ID: ART-57554
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58710
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58720
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58747

CPT Codes Commonly Billed with Z33.1

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

No procedure linkages on file for Z33.1

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 Z33.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z33.1 V222 10000

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

Codes Adjacent To Z33.1

Other codes in section Z30-Z39 (Persons encountering health services in circumstances related to reproduction).

ICD-10 Z33.1, Billing FAQ

Is ICD-10 code Z33.1 billable? +

Yes, Z33.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Z33.1? +

ICD-10 Z33.1 includes: Pregnancy NOS; Pregnant state NOS.

What codes are Type 1 Excludes for Z33.1? +

Type 1 Excludes (never code together with Z33.1): complications of pregnancy (O00-O9A); pregnant state, gestational carrier (Z33.3)

What ICD-9 codes does Z33.1 map to? +

Per CMS GEMs, Z33.1 maps to ICD-9 codes: V222. 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 May 31, 2026.

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