2025 ICD-10-CM code Z92.85
(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
Personal history of cellular therapy.
Modifiers are not typically applied to ICD-10 codes.
Medical necessity for using Z92.85 is established when the history of cellular therapy is relevant to the current encounter, affecting diagnosis, treatment planning, or risk assessment.This could be due to potential long-term effects, increased risk of infection, or influence on current treatment decisions.
The clinical responsibility for using this code rests with the physician or healthcare provider documenting the patient's history of cellular therapy. This is crucial for establishing a comprehensive medical history, identifying potential risks or complications, and tailoring appropriate treatment strategies.
- Chapter 21: Factors influencing health status and contact with health services
- Z92.85 is part of the broader category Z92 (Personal history of other specified therapy), which falls under the chapter Z00-Z99 (Factors influencing health status and contact with health services).
In simple words: This code means the person has received cellular therapy treatment in the past.This information is important for the doctor to know, even if it's not why they are seeing the doctor today.
This code indicates a personal history of receiving cellular therapy.It is used to document the patient's past treatment with cellular therapies, regardless of the specific type of therapy or the reason for its administration.The code is assigned when the cellular therapy is relevant to the current encounter, even if not directly related to the primary reason for the visit.
Example 1: A patient presents for a routine check-up.The physician reviews their medical history and notes a previous course of CAR T-cell therapy for leukemia. Z92.85 is used to document this history., A patient is admitted for a possible infection post stem-cell transplant. Z92.85 is added to reflect their prior history of cellular therapy, indicating a potential increased susceptibility to infection., A patient undergoes a surgical procedure.During the pre-operative assessment, their history of cellular therapy is revealed, influencing the surgical plan and potential post-operative management. Z92.85 is appended to the medical record.
Documentation should include the type of cellular therapy received (e.g., CAR T-cell therapy, hematopoietic stem cell transplant), date(s) of the procedure(s), and the indication for the therapy.Any relevant complications or adverse effects should also be noted.
** Z92.85 is a secondary code; it should always accompany a primary diagnosis or procedure code accurately reflecting the reason for the encounter.The code should be used cautiously, only when the prior cellular therapy is relevant to the patient's current condition or care.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Hematology, Oncology, Immunology, Transplant Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center