Z99.12

Encounter for respirator [ventilator] dependence during power failure

FY2027Chapter 21: Factors influencing health status and contact with health services/Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

BillableComplete code, valid to report

Z99.12 (also written Z9912) is a billable ICD-10-CM diagnosis code for encounter for respirator [ventilator] dependence during power failure. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 7 codes in category Z99 (Dependence on enabling machines and devices, not elsewhere classified). The Alphabetic Index lists it under 2 entries. Its coding notes include a Code also instruction and 1 Excludes1 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A status code is not the same as a history code. It is not added when the diagnosis code already includes the status.

Guidelines I.C.21.c.3Status Z codesRead the official text

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (1 note)
Inherited from Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • any follow-up examination (Z08-Z09)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • mechanical complication of respirator [ventilator] (J95.850)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 3 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

IPF Comorbidity

On the CMS IPF comorbidity list.

Comorbidity categoryFactor
Chronic Obstructive Pulmonary Disease and Sleep Apnea1.09
It counts as a comorbidity when reported as a secondary diagnosis and actively treated during the stay. An IPF receives only one adjustment within a category and can receive adjustments in more than one category.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum B-3 (comorbidity codes with adjustment factor); effective for discharges on or after October 1, 2026

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • 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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries