2025 ICD-10-CM code Z84.1
(Active) Effective Date: N/A Revision Date: N/A Deletion 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 Chapter 21: Factors influencing health status and contact with health services Feed
Family history of kidney and ureter disorders.
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.
- Chapter 21: Factors influencing health status and contact with health services
- Z84.1 falls under the broader category Z84: Family history of other conditions, which is part of the larger Z00-Z99 chapter.
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.
- Revenue Code: Revenue codes will vary depending on the services rendered. Consult your local coding guidelines.
- RVU: RVUs are not applicable to ICD-10 codes. RVUs are associated with procedural codes such as CPT codes.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Nephrology, Urology, Genetics, Family Medicine
- Place of Service:Office, Outpatient Hospital, Clinic