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ICD-10-CM 2027 diagnosis code

Z99.89Dependence on other enabling machines and devices

✓ Billable / specificPOA exemptNot a principal dx

Z99.89 is a valid, billable ICD-10-CM code for dependence on other enabling machines and devices. 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 Z99.89

Z99.89 is the ICD-10-CM diagnosis code for dependence on other enabling machines and devices. It belongs to category Z99 (dependence on enabling machines and devices, not elsewhere classified), 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 Z99.8, choose Z99.89 (other enabling machines and devices) only when documentation doesn't support a more specific option: supplemental oxygen (Z99.81).

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 V46.8 (dependence on other enabling machines) and V46.9 (unspecified machine dependence).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Dependence on machine or device NOS

Notes that apply from higher levels

Instructions written at a parent level also apply to Z99.89.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to Z99.89.

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 →
  • V46.8Dependence on other enabling machinesapproximate
  • V46.9Unspecified machine dependenceapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z99.89

Is Z99.89 billable?

Yes. Z99.89 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z99.89 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 Z99.89 a CC or MCC?

No. Z99.89 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z99.89 group to?

Z99.89 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.

What is the ICD-9 code for Z99.89?

The CMS General Equivalence Mappings map Z99.89 to ICD-9-CM V46.8 and V46.9.