2025 ICD-10-CM code Z84
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) Chapter 21: Factors influencing health status and contact with health services (Z00-Z99) Feed
Family history of other conditions.
Medical necessity for the encounter must be established separately, as Z codes alone do not justify services.The family history information itself may contribute to medical decision-making and the overall assessment of the patient's health risks.
Clinicians should document the specific condition(s) in the family history and use the most specific Z code available. This information is crucial for risk assessment, preventive care, and diagnostic/therapeutic decisions.Documenting family history helps healthcare providers understand a patient's predisposition to certain conditions.
In simple words: This code indicates that one or more members of your family have a history of a medical condition not otherwise specified.
This code is used to document a family history of various conditions not specifically classified elsewhere in the Z80-Z99 range.It's important to note that this code represents a family history, not a personal history, of these conditions.
Example 1: A patient presents for a routine check-up and reports a family history of skin conditions (not otherwise specified). The code Z84.0 would be used., A patient with hypertension mentions a family history of kidney disorders during a consultation. Z84.1 would be appropriate in this case., A patient undergoing genetic counseling discloses a family history of sudden infant death syndrome (SIDS).The code Z84.82 is applicable here.
Documentation should clearly state the specific condition(s) affecting family members, the relationship to the patient, and, if known, the age of onset and severity of the condition(s) in affected family members.
** For proper coding, distinguish between personal and family history. Remember to code any associated diagnoses or procedures performed during the encounter.
- Specialties:General practice, family medicine, internal medicine, genetics counseling, and any specialty where family history is relevant to patient care.
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, and other places of service where family history is documented and considered in patient management.