Billable / Specific Code
ICD-10-CM Z76.5 is the diagnosis code for Malingerer [conscious simulation]. This code falls under the section "Persons encountering health services in other circumstances" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as Z76.5. They are mutually exclusive:
Understanding where Z76.5 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, Z76.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z76.5 is the ICD-10-CM diagnosis code for "Malingerer [conscious simulation]". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of Z76.5 is Z76 ("Persons encountering health services in other circumstances"). Z76.5 provides a more specific classification within this category.
Z76.5 is located in Section Z69-Z76 — "Persons encountering health services in other circumstances" within Chapter 21 of the ICD-10-CM Tabular List.
Use Z76.5 when the patients documented diagnosis matches "Malingerer [conscious simulation]" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Malingerer [conscious simulation] is Z76.5.
Yes, Z76.5 can be used as a primary diagnosis code since it is billable and specific.
Z76.5 is in Chapter 21 of the ICD-10-CM Tabular List.
Type 1 Excludes for Z76.5 include: factitious disorder (F68.1-, F68.A); peregrinating patient (F68.1-).
Yes, Z76.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.