2025 ICD-10-CM code Z92.24

Personal history of steroid therapy.

Ensure accurate and complete documentation to justify the use of the code. The type of steroid therapy needs to be detailed;if known, specify inhaled (Z92.240) or systemic (Z92.241).If only a general history of steroid use is available, Z92.24 is appropriate.Note that Z92.24 excludes current, long-term steroid therapy (Z79.-).

Modifiers are not applicable to ICD-10-CM codes.

Documentation of the patient's history of steroid therapy is medically necessary for several reasons.It allows healthcare providers to assess the patient's risk for adverse effects, monitor for complications, and make informed decisions about future treatments. For example, long-term steroid use can increase the risk of osteoporosis, cataracts, or infections.

The clinical responsibility for using this code falls on the physician documenting the patient's history.It is crucial for accurate documentation of the patient's medical history, including any potential risks related to past steroid use.

IMPORTANT Z92.240 (Personal history of inhaled steroid therapy) and Z92.241 (Personal history of systemic steroid therapy) are more specific codes that can be used if the type of steroid therapy is known.The use of Z79.- (long-term current drug therapy) is excluded if the steroid therapy is not currently ongoing.

In simple words: This code means the patient has used steroid medication in the past.Doctors use this information to help make decisions about their care.

This code is used to document a patient's history of steroid therapy.It indicates that the patient has received steroid treatment at some point in the past, regardless of whether they are currently receiving treatment. This information is relevant for assessing potential health risks and informing treatment decisions.

Example 1: A 50-year-old female patient with a history of asthma presents for a routine check-up.Her medical record indicates past use of inhaled corticosteroids.Z92.240 would be appropriately coded., A 65-year-old male patient with a history of rheumatoid arthritis presents for a follow-up appointment.The physician notes that the patient received systemic corticosteroid treatment in the past. Z92.241 is appropriate., A 30-year-old patient with a history of eczema presents for a consultation.The patient has received topical and oral steroid treatments in the past.While there are no specific codes for topical steroid history, Z92.24 could be utilized; however, a clinician's best judgment and knowledge of the specific guidelines must be used to ensure accurate coding.

The patient's medical record should contain documentation specifying the type of steroid therapy (inhaled, systemic, topical etc.), dates of administration, and reason for use.If possible, dosages should also be recorded.This information can be gleaned from prior medical records, patient interviews or medication lists.

** This code should only be used to reflect a past history of steroid use.If the patient is currently receiving steroid therapy, a different code (likely from the Z79 category) should be used.

  • Payment Status: Active
  • Modifier TC rule: Not applicable to ICD-10-CM codes.
  • Specialties:Endocrinology, Rheumatology, Pulmonology, Allergy and Immunology, Dermatology
  • Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, other
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