ICD-10 Z49
Non-Billable HeaderEncounter for care involving renal dialysis
About ICD-10-CM Z49
ICD-10-CM code Z49 represents Encounter for care involving renal dialysis. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z49). The 2026 edition of ICD-10-CM Z49 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Notes
Code Also
- associated end stage renal disease (N18.6)
Medicare LCD Coverage for Z49
Local Coverage Determinations (LCDs) from CMS MACs that list Z49 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z49.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z49 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z49
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To Z49
Other codes in section Z40-Z53 (Encounters for other specific health care).
ICD-10 Z49, Billing FAQ
Is ICD-10 code Z49 billable? +
No, Z49 is a non-billable header code. Use a more specific child code from block Z49 when submitting claims.
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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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