2025 ICD-10-CM code Z79.899
(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
Other long-term (current) drug therapy.
Medical necessity for this code is established by the documented need for long-term medication management for a chronic condition or prophylaxis. The documentation should support the ongoing need for treatment and the impact of the medication on the patient's health status.
The clinical responsibility for this code involves documenting the reason for the encounter, the specific diagnosis being treated, and the long-term medication regimen. Proper documentation is crucial to ensure accurate coding and reimbursement.
In simple words: This code is used when someone is taking medicine regularly for a long time, like for a chronic health problem or to prevent illness.It's added along with other codes that explain the reason for the visit to the doctor.
This code classifies circumstances where a patient is undergoing long-term drug therapy that is not specifically categorized elsewhere in the ICD-10-CM classification system.It's used when a patient is receiving ongoing medication for a chronic condition, prophylaxis, or other therapeutic reasons not directly related to an acute illness or injury.It is a supplemental code and should be used in conjunction with codes that describe the reason for the encounter or the specific diagnosis being managed.
Example 1: A patient with hypertension is seen for a routine follow-up appointment.The physician reviews the patient's blood pressure and adjusts their medication regimen.Z79.899 would be used as a secondary code in this scenario, along with the appropriate code for hypertension., A patient with a history of seizures is seen for a routine check-up and medication management.Z79.899 would be used as a secondary code in conjunction with the code for epilepsy., A patient is seen for a pre-operative assessment, and they are taking a medication that requires special considerations before surgery. The code Z79.899 would be used to document this medication usage, in addition to the codes for the assessment.
Complete medical history, including medication list with dosages and frequencies, physician's notes detailing the reason for the encounter, and any relevant test results should be included in the documentation.
** Z79.899 is a supplemental code and should be used with other codes that describe the reason for the visit or the specific diagnosis being managed. This code should be used carefully and only when appropriate.Always refer to the current ICD-10-CM guidelines for the most accurate and up-to-date coding information.
- Payment Status: Active
- Specialties:Internal Medicine, Cardiology, Neurology, Endocrinology, Oncology, Family Medicine, and other specialties where long-term medication management is common.
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Other