2025 ICD-10-CM code Z99
Dependence on enabling machines and devices, not elsewhere classified.
Medical necessity for this code is established by the patient's underlying condition that requires the use of the enabling machine or device. Documentation should support the ongoing need for the device.
Clinicians should document the specific machine or device the patient is dependent on and the underlying reason for this dependence.
In simple words: This code indicates that the patient relies on medical equipment to maintain essential body functions.
This code signifies a patient's dependence on machines or devices for life support or essential bodily functions, where no more specific code exists.This includes scenarios where the dependence isn't solely on a respirator (Z99.1) or supplemental oxygen (Z99.81).
Example 1: A patient relies on a ventricular assist device (VAD) due to heart failure. As Z99 encompasses dependence on enabling machines not classified elsewhere, it's appropriate when a more specific code isn't available., An individual with a tracheostomy requires a ventilator for breathing but has become ventilator-dependent even after the acute condition has resolved. This extended dependence is coded as Z99.1., A patient with chronic kidney disease requires regular dialysis and is coded with Z99.2 for dependence on renal dialysis.
The documentation should clearly specify the type of enabling machine or device the patient is dependent on, the medical condition necessitating the use of the device, and the duration of the dependence.If the dependence is related to a procedure, a procedure code should also be included.
** The Z99 code series is used to document factors influencing a patient's health status and contact with health services. They are not primary diagnoses but provide additional information about the patient's circumstances. Always code any underlying conditions or reasons for the device dependence in addition to Z99.This response is current as of 2024-11-30.
- Specialties:Critical care, pulmonology, nephrology, cardiology, any specialty managing patients with chronic conditions requiring life-sustaining devices.
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Home, etc.