Z77.013 ICD-10-CM Code: Contact with and (suspected) exposure to gadolinium
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Code Set: New for FY2027 — not valid before October 1, 2026.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z77.013 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- contact with and (suspected) exposures to potential hazards to health
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- contact with and (suspected) exposure to communicable diseases (Z20.-) Compare Z77.013 vs Z20 →
- exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81) Compare Z77.013 vs P96.81 →
- newborn affected by noxious substances transmitted via placenta or breast milk (P04.-) Compare Z77.013 vs P04 →
- occupational exposure to risk factors (Z57.-) Compare Z77.013 vs Z57 →
- retained foreign body (Z18.-) Compare Z77.013 vs Z18 →
- retained foreign body fully removed (Z87.821) Compare Z77.013 vs Z87.821 →
- toxic effects of substances chiefly nonmedicinal as to source (T51-T65) Compare Z77.013 vs T51 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any follow-up examination (Z08-Z09)
Change history
- FY2027 — 2026-10-01Added to the code setContact with and (suspected) exposure to gadoliniumFY2027 changes
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of Z77.013 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- Z00-Z99 — Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) (Z00-Z99) [Hierarchy]
- Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status [Hierarchy]
Referenced by Excludes1 notes (18)
- T51 — Toxic effect of alcohol [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T51-T65 — Toxic effects of substances chiefly nonmedicinal as to source (T51-T65) [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T52 — Toxic effect of organic solvents [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T53 — Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T54 — Toxic effect of corrosive substances [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T55 — Toxic effect of soaps and detergents [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T56 — Toxic effect of metals [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- T57 — Toxic effect of other inorganic substances [Excludes1](via Z77.-): “contact with and (suspected) exposure to toxic substances (Z77.-)” · check together
- and 10 more
Referenced by Excludes2 notes
- P04 — Newborn affected by noxious substances transmitted via placenta or breast milk [Excludes2](via Z77.-): “newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)” · check together
- Z91 — Personal risk factors, not elsewhere classified [Excludes2](via Z77.-): “contact with and (suspected) exposures hazardous to health (Z77.-)” · check together
Index entries
- Contact (with), gadolinium[Index term]
- Exposure (to), gadolinium[Index term]
Nearest codes (40)
- Z77 — Other contact with and (suspected) exposures hazardous to health [Sibling]
- Z77.0 — Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals [Sibling]
- Z77.01 — Contact with and (suspected) exposure to hazardous metals [Sibling]
- Z77.010 — Contact with and (suspected) exposure to arsenic [Sibling]
- Z77.011 — Contact with and (suspected) exposure to lead [Sibling]
- Z77.012 — Contact with and (suspected) exposure to uranium [Sibling]
- Z77.018 — Contact with and (suspected) exposure to other hazardous metals [Sibling]
- Z77.02 — Contact with and (suspected) exposure to hazardous aromatic compounds [Sibling]
- and 32 more
Change history
- FY2027 — Added to the code set [Change history]
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name Z77.013 or its code family.
18 Excludes1 notes across 2 chapters: T51 (via Z77.-), T51-T65 (via Z77.-), T52 (via Z77.-), T53 (via Z77.-), T54 (via Z77.-), T55 (via Z77.-), T56 (via Z77.-), T57 (via Z77.-), T58 (via Z77.-), T59 (via Z77.-) and 8 more.
2 Excludes2 notes across 2 chapters: P04 (via Z77.-), Z91 (via Z77.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z77.013 in its code family, with their registry titles.
- Z77.0 — Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals
- Z77.01 — Contact with and (suspected) exposure to hazardous metals
- Z77.010 — Contact with and (suspected) exposure to arsenic
- Z77.011 — Contact with and (suspected) exposure to lead
- Z77.012 — Contact with and (suspected) exposure to uranium
- Z77.018 — Contact with and (suspected) exposure to other hazardous metals
- Z77.02 — Contact with and (suspected) exposure to hazardous aromatic compounds
- Z77.020 — Contact with and (suspected) exposure to aromatic amines
- Z77.021 — Contact with and (suspected) exposure to benzene
- Z77.028 — Contact with and (suspected) exposure to other hazardous aromatic compounds
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Contact (with), gadolinium
- Exposure (to), gadolinium