ICDwise
Z91 ⚠ Non-billable

Personal risk factors, not elsewhere classified

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

Code
Z91
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.

Excludes2 — not included here, but may code together
  • contact with and (suspected) exposures hazardous to health (Z77.-)
  • exposure to pollution and other problems related to physical environment (Z77.1-)
  • female genital mutilation status (N90.81-)
  • occupational exposure to risk factors (Z57.-)
  • personal history of physical injury and trauma (Z87.81, Z87.82-)

Frequently asked questions

What is ICD-10 code Z91?
ICD-10-CM code Z91 represents Personal risk factors, not elsewhere classified. 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 Z91 billable?
No. Z91 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z91 in?
Z91 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.

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