2025 ICD-10-CM code Z92.82
(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
Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility. Code first condition requiring tPA administration, such as acute cerebral infarction (I63.-) or acute myocardial infarction (I21.-, I22.-).
No modifiers are applicable to Z codes.
The medical necessity of Z92.82 is established by the documentation of prior tPA administration within 24 hours of admission to the current facility.The medical necessity of the underlying condition requiring tPA is also a factor.
Coding this condition accurately ensures that the patient's prior treatment with tPA is documented, which is crucial for ongoing care. This information impacts clinical decision-making, as it helps healthcare providers understand the patient's recent medical history and potential risk factors. It also aids in accurate reporting and analysis of healthcare data, particularly related to stroke and heart attack care.
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Z92 - Personal history of medical treatment
In simple words: This code indicates the patient received a clot-busting medication called tPA at a different medical facility within the past 24 hours before being admitted to the current facility.
Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility. This code should be used when a patient has received tissue plasminogen activator (tPA or rtPA) in a different facility within 24 hours before being admitted to the current facility.The primary condition necessitating the tPA administration should also be coded, such as acute cerebral infarction (I63.-) or acute myocardial infarction (I21.-, I22.-).
Example 1: A patient presents to the emergency department with ongoing stroke symptoms. They report receiving tPA at a different hospital earlier in the day. The physician admits the patient for further evaluation and treatment. Z92.82 is coded along with the appropriate code for the stroke diagnosis (e.g., I63.-)., A patient is transferred from a smaller hospital to a larger medical center for specialized cardiac care after receiving tPA for a heart attack.The receiving physician documents the prior tPA administration using code Z92.82 and the appropriate code for the myocardial infarction (e.g., I21.-)., A patient presents to the emergency room with complications following tPA administration at an urgent care center. The patient is admitted for observation and management of the complications. Z92.82 is coded along with codes for the complications and the initial condition treated with tPA.
Documentation should clearly state the date and time of tPA administration, the facility where it was administered, and the indication for tPA use. The diagnosis requiring the administration of tPA should also be clearly documented.
** This code is specifically for use when the tPA was administered in a *different* facility. If tPA is administered in the *same* facility, it would not be appropriate to use Z92.82.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiology, Emergency Medicine, Internal Medicine, Neurology
- Place of Service:Inpatient Hospital