2025 ICD-10-CM code Z87.892
(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 21. Factors Influencing Health Status and Contact with Health Services (Z00-Z99) Feed
Personal history of anaphylaxis. This code is used to document a past episode of anaphylaxis, a severe and potentially life-threatening allergic reaction.
The medical necessity of using Z87.892 lies in the importance of understanding a patient's past history of anaphylaxis for informing present and future care. This information is vital for appropriate medication prescriptions, allergy testing decisions, surgical planning, and overall risk assessment.It aids in preventing future episodes of anaphylaxis, which could be life-threatening, by enabling the healthcare team to take necessary precautions and provide tailored care.
Clinicians use this code to document a patient's history of anaphylaxis when it's relevant to their current health status or the reason for their visit. It's crucial for informing treatment decisions and preventive measures. For example, a patient with a history of anaphylaxis to a specific medication should not be prescribed that medication again.
- 21. Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
- Z87.8 Personal history of other specified conditions
In simple words: This code indicates that you have had a severe allergic reaction called anaphylaxis in the past.
Personal history of anaphylaxis.This code indicates that the patient has a documented history of having experienced anaphylaxis at some point in the past. Anaphylaxis is a serious, potentially life-threatening allergic reaction that can occur rapidly after exposure to an allergen. Symptoms can include difficulty breathing, swelling of the throat or tongue, hives, low blood pressure, and loss of consciousness. It's important to note that this code represents a past event, not a current condition.If the patient is currently experiencing anaphylaxis, a different code should be used.
Example 1: A patient presents for a routine check-up and mentions a past episode of anaphylaxis to peanuts. The physician documents this history using Z87.892., A patient is scheduled for surgery and informs the surgical team about a history of anaphylaxis to latex.Z87.892 is used to alert the team to this important allergy information., A patient visits an allergist for testing due to a suspected allergy. During the consultation, they report a previous incident of anaphylaxis after a bee sting. Z87.892 is used to record this history.
Documentation should clearly state the specific allergen causing anaphylaxis, the date of the reaction, symptoms, treatment, and outcome. Additional details such as the severity of the reaction, any prescribed medications like epinephrine, and preventative measures discussed are beneficial. It's crucial to distinguish between anaphylaxis and other allergic reactions. Confirmation of the prior diagnosis via medical records, if available, further reinforces the documentation's accuracy.
** It's essential to differentiate between a personal history of anaphylaxis (Z87.892) and the active condition of anaphylaxis (T78.0XXA, T78.2XXA, T80.5XXA, T88.6XXA). This distinction ensures accurate coding, reflecting the true nature of the patient's current health status.
- Specialties:Allergists/Immunologists, Emergency Medicine, Family Medicine, Internal Medicine, Pediatrics, Anesthesiology, Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center, Office, Independent Clinic, Federally Qualified Health Center