ICD-10-CM 2027 diagnosis code
Z77.111Contact with and (suspected) exposure to water pollution
Z77.111 is a valid, billable ICD-10-CM code for contact with and (suspected) exposure to water pollution. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About Z77.111
Z77.111 is the ICD-10-CM diagnosis code for contact with and (suspected) exposure to water pollution. It belongs to category Z77 (other contact with and (suspected) exposures hazardous to health), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within Z77.11 (contact with and (suspected) exposure to environmental pollution), Z77.111 is specifically for contact with and (suspected) exposure to water pollution. Related codes cover air pollution (Z77.110), soil pollution (Z77.112) and other environmental pollution (Z77.118).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as V15.89 (other specified personal history presenting hazards to health).
Notes that apply from higher levels
Instructions written at a parent level also apply to Z77.111.
› From Z77 Other contact with and (suspected) exposures hazardous to health
- contact with and (suspected) exposures to potential hazards to health
- contact with and (suspected) exposure to communicable diseases (Z20.-)
- exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81)
- newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
- occupational exposure to risk factors (Z57.-)
- retained foreign body (Z18.-)
- retained foreign body fully removed (Z87.821)
- toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
Broader instructions also apply from Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status and Chapter 21: Factors influencing health status and contact with health services.
Alphabetic index entries
4 entriesTerms in the official ICD-10-CM index that lead to Z77.111.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services
ICD-9-CM equivalent
Converter →- V15.89Other specified personal history presenting hazards to healthapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about Z77.111
Is Z77.111 billable?
- Yes. Z77.111 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Z77.111 be used as a principal diagnosis?
- No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.
Is Z77.111 a CC or MCC?
- No. Z77.111 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does Z77.111 group to?
- Z77.111 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.