2025 ICD-10-CM code Z86.19
(Active) Effective Date: N/A Revision 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
Personal history of other infectious and parasitic diseases.
This code does not typically use modifiers.
The medical necessity for coding Z86.19 arises when the patient's history of infectious or parasitic diseases is pertinent to their current health status, planned treatment, or preventative care.The physician's clinical judgment determines this necessity.
The clinical responsibility for using this code falls on the physician or qualified healthcare professional documenting the patient's medical history.Accurate documentation of the patient's past infectious disease history is crucial for appropriate coding and billing.
- Chapter 21: Factors influencing health status and contact with health services
- Z86.19 falls under the broader category of Z86, Personal history of certain other diseases.
In simple words: This code means the person has had other infectious or parasitic diseases in the past.This information is important for their healthcare.
This ICD-10-CM code classifies a patient's personal history of infectious and parasitic diseases other than those specified elsewhere in the ICD-10-CM classification.It is used when a patient's history of such infections is relevant to their current health status or treatment, even if they are not currently experiencing an active infection.This code should be used in conjunction with other codes that describe the reason for the encounter.
Example 1: A patient presents for a routine checkup.Their medical history includes a past case of tuberculosis that was successfully treated years ago.Z86.19 would be used to reflect the history of tuberculosis., A patient with a history of Hepatitis C, now in remission, is being seen for hypertension management.Z86.19 should be used to indicate the past Hepatitis C infection., A patient is undergoing a pre-surgical evaluation.Their chart reveals a past instance of malaria.Z86.19 would be included to document the patient's relevant medical history.
Comprehensive and accurate medical records detailing the previous infectious and parasitic diseases are required.This should include dates of infection, treatment details, and outcome.The documentation should clearly differentiate between past and active infections.
** The proper use of this code is essential for ensuring that the patient's complete medical history is accurately documented, thus facilitating appropriate medical decision-making and accurate reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Infectious disease specialists, general practitioners, and other specialties where a patient's history of infectious disease is relevant.
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, other relevant settings.