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2025 ICD-10-CM code Z84.1

Family history of kidney and ureter disorders.

Consult the official ICD-10-CM coding guidelines for the most up-to-date information.Ensure that the family history is accurately documented and that the code accurately reflects the reason for the encounter.

Modifiers are not applicable to ICD-10 codes.

Medical necessity is established when a patient has a family history of kidney or ureter conditions increasing their risk for developing related problems. Preventative measures and risk assessments are considered medically necessary to provide early intervention and improve patient outcomes.The specific justification will depend on the patient’s individual circumstances and family history.

The clinical responsibility associated with this code depends on the context of the encounter. It may involve genetic counseling, preventative screenings (such as blood pressure checks, urinalysis, and imaging), risk assessment, patient education on lifestyle modifications, and potential referral to specialists for further evaluation or management.

IMPORTANT:Related codes might include those specifying particular kidney or ureter conditions present in the family history if more detail is available and clinically indicated.Consider using additional codes to specify the nature of the family history (e.g., specific genetic disorders).

In simple words: This code means the patient has a family history of kidney or ureter problems. The doctor might use this code if the patient is getting checked for potential problems because of this family history.

This code signifies a documented family history of disorders affecting the kidneys and ureters.It's used when a patient presents for care related to this family history, such as genetic counseling, preventative screenings, or management of potential risks.The code does not indicate the presence of an active kidney or ureter disease in the patient themselves.

Example 1: A patient with a family history of polycystic kidney disease (PKD) seeks genetic counseling to assess their risk and understand potential preventative measures., A patient whose family members have a history of kidney stones presents for a routine urinalysis and discussion about dietary and lifestyle modifications to reduce their risk., A patient with a family history of renal failure undergoes regular blood pressure monitoring and blood tests to detect early signs of kidney dysfunction.

Documentation should include a detailed family history of kidney and/or ureter diseases, including the specific condition(s) and affected relatives.Any discussions regarding risk assessment, preventative measures, or further testing should also be clearly documented.

** This code should be used in conjunction with other codes that describe the reason for the encounter (e.g., a procedure code if a procedure is performed) and any other relevant diagnoses.The code is exempt from the Present on Admission (POA) reporting requirement.

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