Z03.79 ICD-10-CM Code: Encounter for other suspected maternal and fetal conditions ruled out
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z03.79 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)
- contact with and (suspected) exposures hazardous to health (Z77.-)
- encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05.-)
- person with feared complaint in whom no diagnosis is made (Z71.1)
- signs or symptoms under study- code to signs or symptoms
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z03.79 in its code family, with their registry titles.
- Z03.71 — Encounter for suspected problem with amniotic cavity and membrane ruled out
- Z03.72 — Encounter for suspected placental problem ruled out
- Z03.73 — Encounter for suspected fetal anomaly ruled out
- Z03.74 — Encounter for suspected problem with fetal growth ruled out
- Z03.75 — Encounter for suspected cervical shortening ruled out
- Z03.8 — Encounter for observation for other suspected diseases and conditions ruled out
- Z03.81 — Encounter for observation for suspected exposure to biological agents ruled out
- Z03.810 — Encounter for observation for suspected exposure to anthrax ruled out
- Z03.818 — Encounter for observation for suspected exposure to other biological agents ruled out
- Z03.82 — Encounter for observation for suspected foreign body ruled out
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Encounter (with health service) (for), suspected condition, ruled out, maternal and fetal conditions NEC
- Suspected condition, ruled out, maternal and fetal conditions NEC