ICD-10 Z74.9
Billable / SpecificProblem related to care provider dependency, unspecified
About ICD-10-CM Z74.9
ICD-10-CM code Z74.9 represents Problem related to care provider dependency, unspecified. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z74). The 2026 edition of ICD-10-CM Z74.9 became effective on October 1, 2025.
Medicare LCD Coverage for Z74.9
Local Coverage Determinations (LCDs) from CMS MACs that list Z74.9 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 Z74.9.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z74.9 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z74.9
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.
Convert Z74.9 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z74.9 | V609 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z74.9
Other codes in section Z69-Z76 (Persons encountering health services in other circumstances).
ICD-10 Z74.9, Billing FAQ
Is ICD-10 code Z74.9 billable? +
Yes, Z74.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does Z74.9 map to? +
Per CMS GEMs, Z74.9 maps to ICD-9 codes: V609. 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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