Malingerer [conscious simulation]
Billable / specificPOA exempt
Z76.5 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Applicable to
- Person feigning illness (with obvious motivation)
Includes (from Z76)
- Note: 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:
- Note: (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.
- Note: (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.
Excludes1
Not coded here — never report together with this code.
Also known as
- Person feigning illness (with obvious motivation)
- Behavior, drug seeking
- Conscious simulation
- Disorder, feigned
- Feigned illness
- Malingerer, malingering
- Person, feigning illness
- Problem, behavioral, drug seeking
- Simulation, conscious
Parent code
- Z76Persons encountering health services in other circumstancesHeader
Related codes
- Z76.0Encounter for issue of repeat prescriptionBillable
- Z76.1Encounter for health supervision and care of foundlingBillable
- Z76.2Encounter for health supervision and care of other healthy infant and childBillable
- Z76.3Healthy person accompanying sick personBillable
- Z76.4Other boarder to healthcare facilityBillable
- Z76.8Persons encountering health services in other specified circumstancesHeader