Long term (current) drug use - V58.6 codes are for use for when the patient has been on a medication for an extended time, or when the medication has been currently prescribed with the intent of long term use.
Long term (current) use of inhaled steroids. Z79.51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z79.51 became effective on October 1, 2019. This is the American ICD-10-CM version of Z79.51 - other international versions of ICD-10 Z79.51 may differ.
If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded. Noncompliance (Z91.12-, Z91.13- and Z91.14-) or complication of care (Y63.6-Y63.9) codes are to be used with an underdosing code to indicate intent, if known."
Long term (current) use of antithrombotics/antiplatelets The 2022 edition of ICD-10-CM Z79. 02 became effective on October 1, 2021. This is the American ICD-10-CM version of Z79.
Adverse effect of antihyperlipidemic and antiarteriosclerotic drugs, initial encounter. T46. 6X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T46.
The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes.
2022 ICD-10-CM Diagnosis Code Z79. 899: Other long term (current) drug therapy.
ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Long-term medicine Any medicine you have to take for three or more months to control symptoms or to prevent complications from a condition. Examples of conditions that might require long-term medicine include: high blood pressure, high cholesterol, diabetes, arthritis, heart conditions, and long-term pain.
ICD-10 code Z71. 85 for Encounter for immunization safety counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
For the monitoring of patients on methadone maintenance and chronic pain patients with opioid dependence use diagnosis code Z79. 891, suspected of abusing other illicit drugs, use diagnosis code Z79. 899.
ICD-10-CM Diagnosis Code Z79 Z79.
The 2022 edition of ICD-10-CM Z79. 811 became effective on October 1, 2021. This is the American ICD-10-CM version of Z79.
The 2022 edition of ICD-10-CM Z79.89 became effective on October 1, 2021.
Z79.810 Long term (current) use of selective estrogen receptor modulators (SERMs) Z79.811 Long term (current) use of aromatase inhibitors. Z79.818 Long term (current) use of other agents affecting estrogen receptors and estrogen levels. Z79.82 Long term (current) use of aspirin.
Long term current use of leflunomide (arava) Long term current use of lenalidomide (revlimid) Long term current use of lithium. Long term current use of medication for add and or adhd. Long term current use of medication for attention deficit disorder (add) or attention deficit hyperactivity disorder (adhd)
The 2022 edition of ICD-10-CM Z79.899 became effective on October 1, 2021.
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( Z79.84) and the excluded code together.
The 2022 edition of ICD-10-CM Z79.84 became effective on October 1, 2021.
The T codes for underdosing are only appropriate to report an adverse effect (see the 'code first' note under this category which requires that the nature of the adverse effect be reported), so that would not be an appropriate code if there is no symptom or condition that is documented as resulting from the underdosing. For incidental underdosing with no other reason specified, you would report Z91.14 which includes ' Patient's underdosing of medication NOS '. Since the physician is refilling a medication to treat hypertension, then I would code the hypertension to show that this condition was addressed at the encounter.#N#Unless there is something in documentation or coding guidelines that warrants it (e.g. some kind of ongoing medication use that has a bearing on the reason for the encounter), I generally do not code the generic long term use code, Z79.899, since that code is not specific and does not really report any significant information - it could theoretically be reported for just about any patient with a documented medication use. However, some organizations may want coders to report this for certain situations, so you might want to talk to your quality or audit team, if you have one, to get their guidance on when they consider these code required.
pt Comes in for arm pain and mentions they have been out of lisinopril For 5 days , Which they take for long term use for their htn . Pt isn’t having any bp issues. Final arm pain. Under the MDM MD states he refilled pt’s lisinopril. would you code a T code for under dosing? Seeing how the pt was taking it long term and the Z79 states it’s for continuous use , pt has been out so he is not taking it continuously so I should not code a long Term use z79. Or should I pick the Z79 up as the MD prescribed if for a chronic medical condition and it is the understanding That it will be taken continuously? Also since the pt didn’t come In for a refill i should not code encounter for refill? thank you
Underdosing on page 82-83 (2020 guidelines): " Codes for underdosing should never be assigned as principal or first-listed code s. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.