ICD-10 Z78.9
Billable / SpecificOther specified health status
About ICD-10-CM Z78.9
ICD-10-CM code Z78.9 represents Other specified health status. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z78). The 2026 edition of ICD-10-CM Z78.9 became effective on October 1, 2025.
Medicare LCD Coverage for Z78.9
Local Coverage Determinations (LCDs) from CMS MACs that list Z78.9 as a covered diagnosis.
Showing top 10 of 22 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z78.9.
4 Medicare
CPT Codes Commonly Billed with Z78.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 88120 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86386 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86294 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86316 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 88121 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
Convert Z78.9 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 |
|---|---|---|
| Z78.9 | V4989 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z78.9
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z78.9, Billing FAQ
Is ICD-10 code Z78.9 billable? +
Yes, Z78.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with Z78.9? +
Procedures frequently paired with Z78.9 include: 88120, 86386, 86294, 86316, 88121.
What ICD-9 codes does Z78.9 map to? +
Per CMS GEMs, Z78.9 maps to ICD-9 codes: V4989. 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 July 16, 2026.
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