Z82.49ICD-10 Code for Family history of ischemic heart disease and other diseases of the circulatory system- Z82. 49- Codify by AAPC.
Z82. 41 - Family history of sudden cardiac death | ICD-10-CM.
A family history of heart disease is generally defined by having a first-degree male relative (i.e., father or brother) who had a heart attack by age 55, or a first-degree female relative (i.e., mother or sister) by age 65. Just as important, consider lifestyle changes that improve your heart health.
However, coders should not code Z91. 81 as a primary diagnosis unless there is no other alternative, as this code is from the “Factors Influencing Health Status and Contact with Health Services,” similar to the V-code section from ICD-9.
Z86. 79 - Personal history of other diseases of the circulatory system | ICD-10-CM.
Hundreds of thousands of Americans die of sudden cardiac death each year, an occurrence that can run in families. Now, some doctors are turning to genetic testing to pinpoint the underlying cause of death and help save surviving relatives.
Coronary artery disease leading to heart attack, stroke, and heart failure can run in families, indicating inherited genetic risk factors. Genetics can influence the risk for heart disease in many ways.
“Both the risk of heart disease and risk factors for heart disease are strongly linked to family history,” said William Kraus, M.D., a preventive cardiologist and research scientist at Duke University “If you have a stroke in your family, you are more likely to have one.”
A family health history can identify people with a higher-than-usual chance of having common disorders, such as heart disease, high blood pressure, stroke, certain cancers, and type 2 diabetes. These complex disorders are influenced by a combination of genetic factors, environmental conditions, and lifestyle choices.
You also may want to use additional codes as appropriate, such as Z79. 01 (Long term (current) use of anticoagulants) if the patient is taking anticoagulants, Z51. 81 (Encounter for therapeutic drug level monitoring) if the agency is monitoring PT/INRs, and Z95.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.