Z76.5
Malingerer [conscious simulation]
This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Official Guidelines for Z76.5
FY 2026 ›Sections that reference Z76.5
- I.C.21.c.13)Miscellaneous Z Codes
… for issue of repeat prescription Z76.3 Healthy person accompanying sick person Z76.4 Other boarder to healthcare facility Z76.5 Malingerer [conscious simulation] Z91.1- Patient’s noncompliance with medical treatment and regimen Z91.A- Caregiver’s …
- I.B.19.dUse of Z codesConventions & general rules
… and inaccessibility of health-care facilities Z75.4, Unavailability and inaccessibility of other helping agencies Z76.2, Encounter for health supervision and care of other healthy infant and child Z99.12, Encounter for respirator [ventilator] …
- I.C.21.c.3)Status
… Z74.01 Bed confinement status Z76.82 Awaiting organ transplant status Z78 Other specified health status Code Z78.1, Physical restraint status, may be used when it …
- I.C.21.c.10)Counseling
… condition(s) treated and code Z71.87 should be assigned, with sequencing depending on the circumstances of the encounter. Z76.81 Expectant mother prebirth pediatrician visit
- I.C.21.c.11)Encounters for Obstetrical and Reproductive Services
… screening of mother Z3A Weeks of gestation Z37 Outcome of delivery Z39 Encounter for maternal postpartum care and examination Z76.81 Expectant mother prebirth pediatrician visit
- I.C.21.c.15)Z Codes That May Only be Principal/First-Listed Diagnosis
… chemotherapy and immunotherapy Z52 Donors of organs and tissues Except: Z52.9, Donor of unspecified organ or tissue Z76.1 Encounter for health supervision and care of foundling Z76.2 Encounter for health supervision and care of other healthy infant …
Showing 6 of 11. Search the guidelines for Z76. Sections whose FY 2026 text names Z76.5, its Z76 category, or a range containing it — the chapter guidance above is the authoritative source.
Find Z76.5 in the alphabetic index
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