ICD-10-CM Code Z74.3

Need for continuous supervision

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z74.3 is a billable code used to specify a medical diagnosis of need for continuous supervision. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z74.3 might also be used to specify conditions or terms like requires continuous supervision or requires continuous supervision for activities of daily living or unsafe to be left alone.

The code Z74.3 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:Z74.3
Short Description:Need for continuous supervision
Long Description:Need for continuous supervision

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 Z74.3 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:

  • Requires continuous supervision
  • Requires continuous supervision for activities of daily living
  • Unsafe to be left alone

Convert Z74.3 to ICD-9

  • V60.89 - Housing/econo circum 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