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Z16 ⚠ Non-billable

Resistance to antimicrobial drugs

ICD-10-CM · FY2026 · Factors Influencing Health Status

Code
Z16
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Factors Influencing Health Status
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Official coding notes

From CMS's ICD-10-CM Tabular List.

Excludes1 — never code together
  • Methicillin resistant Staphylococcus aureus infection (A49.02)
  • Methicillin resistant Staphylococcus aureus pneumonia (J15.212)
  • Sepsis due to Methicillin resistant Staphylococcus aureus (A41.02)
Code first
  • the infection
Note
  • The codes in this category are provided for use as additional codes to identify the resistance and non-responsiveness of a condition to antimicrobial drugs.

Frequently asked questions

What is ICD-10 code Z16?
ICD-10-CM code Z16 represents Resistance to antimicrobial drugs. It is a non-billable header code requiring a more specific subcategory in the Factors Influencing Health Status chapter, effective October 1, 2025 – September 30, 2026.
Is Z16 billable?
No. Z16 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z16 in?
Z16 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.

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