ICD-10 Diagnosis Code Z86.39

Personal history of endo, nutritional and metabolic disease

Diagnosis Code Z86.39

ICD-10: Z86.39
Short Description: Personal history of endo, nutritional and metabolic disease
Long Description: Personal history of other endocrine, nutritional and metabolic disease
This is the 2017 version of the ICD-10-CM diagnosis code Z86.39

Code Classification
  • 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 (Z77-Z99)
      • Personal history of certain other diseases (Z86)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z86.39 is exempt from POA reporting.

  • History of acromegaly
  • History of aldosteronism
  • History of autoimmune disorder of endocrine system
  • History of congenital adrenal hyperplasia
  • History of Cushing syndrome
  • History of diabetes mellitus
  • History of diabetes mellitus type 1
  • History of diabetes mellitus type 2
  • History of endocrine disorder
  • History of Graves' disease
  • History of hospital admission in last year for hyperglycemic disorder
  • History of hypercholesterolemia
  • History of hyperthyroidism
  • History of hypothyroidism
  • History of iron deficiency
  • History of maturity onset diabetes mellitus in young
  • History of metabolic disorder
  • History of nocturnal hypoglycemia
  • History of nutritional deficiency
  • History of nutritional disorder
  • History of obesity
  • History of pituitary dependent hypercortisolism
  • History of primary hyperparathyroidism
  • History of raised blood lipids
  • History of thyroid disorder
  • Previous abnormality of glucose tolerance

Information for Patients

Endocrine Diseases

Your endocrine system includes eight major glands throughout your body. These glands make hormones. Hormones are chemical messengers. They travel through your bloodstream to tissues or organs. Hormones work slowly and affect body processes from head to toe. These include

  • Growth and development
  • Metabolism - digestion, elimination, breathing, blood circulation and maintaining body temperature
  • Sexual function
  • Reproduction
  • Mood

If your hormone levels are too high or too low, you may have a hormone disorder. Hormone diseases also occur if your body does not respond to hormones the way it is supposed to. Stress, infection and changes in your blood's fluid and electrolyte balance can also influence hormone levels.

In the United States, the most common endocrine disease is diabetes. There are many others. They are usually treated by controlling how much hormone your body makes. Hormone supplements can help if the problem is too little of a hormone.

  • Androgen insensitivity syndrome
  • Endocrine glands
  • Hypogonadotropic hypogonadism
  • Intersex
  • Multiple endocrine neoplasia (MEN) I
  • Multiple endocrine neoplasia (MEN) II
  • Zollinger-Ellison syndrome

[Read More]

Metabolic Disorders

Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.

A metabolic disorder occurs when abnormal chemical reactions in your body disrupt this process. When this happens, you might have too much of some substances or too little of other ones that you need to stay healthy. There are different groups of disorders. Some affect the breakdown of amino acids, carbohydrates, or lipids. Another group, mitochondrial diseases, affects the parts of the cells that produce the energy.

You can develop a metabolic disorder when some organs, such as your liver or pancreas, become diseased or do not function normally. Diabetes is an example.

  • Acidosis
  • Alkalosis
  • Lactic acid test
  • Metabolic acidosis
  • Metabolic neuropathies
  • Pseudohypoparathyroidism

[Read More]
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