ICD-10-CM Code Z74.09

Other reduced mobility

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z74.09 is a billable code used to specify a medical diagnosis of other reduced mobility. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z74.09 might also be used to specify conditions or terms like confined to chair, dependent lymphedema, dependent lymphedema due to impaired mobility, difficulty mobilizing in home, difficulty transferring from chair to toilet, difficulty transferring from toilet to chair, etc

The code Z74.09 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z74.09
Short Description:Other reduced mobility
Long Description:Other reduced mobility

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z74.09:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Chairridden
  • Reduced mobility NOS

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • wheelchair dependence Z99.3

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z74.09 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable 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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Confined to chair
  • Dependent lymphedema
  • Dependent lymphedema due to impaired mobility
  • Difficulty mobilizing in home
  • Difficulty transferring from chair to toilet
  • Difficulty transferring from toilet to chair
  • Does not mobilize in home
  • Impaired bed mobility
  • Impaired mobility
  • Impaired wheelchair mobility
  • Mobile outside with aid
  • Mobility poor
  • Mobility very poor
  • Needs help on stairs
  • Needs walking aid in home
  • Reduced mobility
  • Thrombophilia due to immobilization
  • Unable to mobilize in home

Convert Z74.09 to ICD-9

  • V49.89 - Conditn influ health NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Problems related to care provider dependency (Z74)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Walking Problems

What are walking problems?

If you are like most people, you walk thousands of steps each day. You walk to do your daily activities, get around, and exercise. It's something that you usually don't think about. But for those people who have a problem with walking, daily life can be more difficult.

Walking problems may cause you to

  • Walk with your head and neck bent over
  • Drag, drop, or shuffle your feet
  • Have irregular, jerky movements when walking
  • Take smaller steps
  • Waddle
  • Walk more slowly or stiffly

What causes walking problems?

The pattern of how you walk is called your gait. Many different diseases and conditions can affect your gait and lead to problems with walking. They include

  • Abnormal development of the muscles or bones of your legs or feet
  • Arthritis of the hips, knees, ankles, or feet
  • Cerebellar disorders, which are disorders of the area of the brain that controls coordination and balance
  • Foot problems, including corns and calluses, sores, and warts
  • Infections
  • Injuries, such as broken bones, sprains, and tendinitis
  • Movement disorders, such as Parkinson's disease
  • Neurologic diseases, including multiple sclerosis and peripheral nerve disorders
  • Vision problems

How is the cause of a walking problem diagnosed?

To make a diagnosis, your health care provider will ask about your medical history and do a physical exam. This will include checking your bones and muscles and doing a neurological exam. In some cases, you may have other tests, such as lab or imaging tests.

What are the treatments for walking problems?

Treatment of walking problems depends on the cause. Some common types of treatments include

  • Medicines
  • Mobility aids
  • Physical therapy
  • Surgery

[Learn More]