ICD-10-CM Code Z82.49

Family history of ischemic heart disease and other diseases of the circulatory system

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z82.49 is a billable code used to specify a medical diagnosis of family history of ischemic heart disease and other diseases of the circulatory system. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z82.49 might also be used to specify conditions or terms like family history of acute medical disorder, family history of aneurysm of abdominal aorta, family history of aneurysm of artery, family history of aneurysm of blood vessel of brain, family history of aneurysm of thoracic aorta, family history of atrial fibrillation, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z82.49 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:Z82.49
Short Description:Family hx of ischem heart dis and oth dis of the circ sys
Long Description:Family history of ischemic heart disease and other diseases of the circulatory system

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 Z82.49 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:

  • Family history of acute medical disorder
  • Family history of aneurysm of abdominal aorta
  • Family history of aneurysm of artery
  • Family history of aneurysm of blood vessel of brain
  • Family history of aneurysm of thoracic aorta
  • Family history of atrial fibrillation
  • Family history of Behcet syndrome
  • Family history of cardiac arrhythmia
  • Family history of cardiovascular disease in first degree female relative less than 65 years of age
  • Family history of cardiovascular disease in first degree male relative less than 55 years of age
  • Family history of cerebral artery occlusion
  • Family history of conduction disorder of the heart
  • Family history of congenital anomaly of cardiovascular system
  • Family history of congestive heart failure
  • Family history of coronary arteriosclerosis
  • Family history of disorder of vein
  • Family history of dissection of aorta
  • Family history of edema of lower extremity
  • Family history of endocarditis
  • Family history of heart failure
  • Family history of ischemic heart disease
  • Family history of left ventricular noncompaction cardiomyopathy
  • Family history of long QT syndrome
  • Family history of mitral valve regurgitation
  • Family history of myocardial infarct in first degree female relative less than 65 years of age
  • Family history of myocarditis
  • Family history of pre-eclampsia
  • Family history of pulmonary embolism
  • Family history of pulmonic valve stenosis
  • Family history of Raynaud phenomenon
  • Family history of stenosis of aortic valve
  • Family history of syncope
  • Family history of thromboembolic disorder
  • Family history of ventricular aneurysm
  • Family history of ventricular premature beats
  • FH angina female first degree age known
  • FH angina female first degree age unknown
  • FH angina male first degree age known
  • FH angina male first degree age unknown
  • FH myocardial infarction female first degree age known
  • FH myocardial infarction female first degree age unknown
  • FH myocardial infarction male first degree age known
  • FH myocardial infarction male first degree age unknown
  • FH: Angina
  • FH: Angina at greater than 60 years
  • FH: Angina at less than 60 years
  • FH: angina grandparent
  • FH: Angina in 1st degree female relative <65 years
  • FH: Angina in 1st degree male relative <55 years
  • FH: Aortic aneurysm
  • FH: Atherosclerosis
  • FH: Cardiac disorder
  • FH: Cardiomyopathy
  • FH: Cardiovascular disease
  • FH: Coronary thrombosis
  • FH: Hypertension
  • FH: Ischemic heart disease at greater than 60 years
  • FH: Ischemic heart disease at less than 60 years
  • FH: Myocardial infarct in 1st degree male relative <55 years
  • FH: Myocardial infarction
  • FH: Myocardial infarction at greater than 60
  • FH: Myocardial infarction at less than 60
  • FH: premature coronary heart disease
  • FH: Raised B.P. in pregnancy
  • FH: Thrombosis

Present on Admission (POA)

Z82.49 is exempt from POA reporting - 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. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z82.49 to ICD-9

  • V17.3 - Fam hx-ischem heart dis (Approximate Flag)
  • V17.49 - Fam hx-cardiovas dis NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

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


Family History

Your family history includes health information about you and your close relatives. Families have many factors in common, including their genes, environment, and lifestyle. Looking at these factors can help you figure out whether you have a higher risk for certain health problems, such as heart disease, stroke, and cancer.

Having a family member with a disease raises your risk, but it does not mean that you will definitely get it. Knowing that you are at risk gives you a chance to reduce that risk by following a healthier lifestyle and getting tested as needed.

You can get started by talking to your relatives about their health. Draw a family tree and add the health information. Having copies of medical records and death certificates is also helpful.

Centers for Disease Control and Prevention


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Heart Diseases

If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. There are many different forms of heart disease. The most common cause of heart disease is narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart itself. This is called coronary artery disease and happens slowly over time. It's the major reason people have heart attacks.

Other kinds of heart problems may happen to the valves in the heart, or the heart may not pump well and cause heart failure. Some people are born with heart disease.

You can help reduce your risk of heart disease by taking steps to control factors that put you at greater risk:

  • Control your blood pressure
  • Lower your cholesterol
  • Don't smoke
  • Get enough exercise

NIH: National Heart, Lung, and Blood Institute


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Vascular Diseases

What are vascular diseases?

Your vascular system is your body's network of blood vessels. It includes your

  • Arteries, which carry oxygen-rich blood from your heart to your tissues and organs
  • Veins, which carry the blood and waste products back to your heart
  • Capillaries, which are tiny blood vessels that connect your small arteries to your small veins. The walls of the capillaries are thin and leaky, to allow for an exchange of materials between your tissues and blood.

Vascular diseases are conditions which affect your vascular system. They are common and can be serious. Some types include

  • Aneurysm - a bulge or "ballooning" in the wall of an artery
  • Atherosclerosis - a disease in which plaque builds up inside your arteries. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood.
  • Blood clots, including deep vein thrombosis and pulmonary embolism
  • Coronary artery disease and carotid artery disease, diseases that involve the narrowing or blockage of an artery. The cause is usually a buildup of plaque.
  • Raynaud's disease - a disorder that causes the blood vessels to narrow when you are cold or feeling stressed
  • Stroke - a serious condition that happens when blood flow to your brain stops.
  • Varicose veins - swollen, twisted veins that you can see just under the skin
  • Vasculitis - inflammation of the blood vessels

What causes vascular diseases?

The causes of vascular diseases depend on the specific disease. These causes include

  • Genetics
  • Heart diseases such as high cholesterol and high blood pressure
  • Infection
  • Injury
  • Medicines, including hormones

Sometimes the cause is unknown.

Who is at risk for vascular diseases?

The risk factors for vascular diseases can vary, depending on the specific disease. But some of the more common risk factors include

  • Age - your risk of some diseases goes up as you get older
  • Conditions that can affect the heart and blood vessels, such as diabetes or high cholesterol
  • Family history of vascular or heart diseases
  • Infection or injury that damages your veins
  • Lack of exercise
  • Obesity
  • Pregnancy
  • Sitting or standing still for long periods of time
  • Smoking

What are the symptoms of vascular diseases?

The symptoms for each disease are different.

How are vascular diseases diagnosed?

To make a diagnosis, your health care provider will do a physical exam and ask about your symptoms and medical history. You may have imaging tests and/or blood tests.

How are vascular diseases treated?

Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include

  • Lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Medicines, such as blood pressure medicines, blood thinners, cholesterol medicines, and clot-dissolving drugs. In some cases, providers use a catheter to send medicine directly to a blood vessel.
  • Non-surgical procedures, such as angioplasty, stenting, and vein ablation
  • Surgery

Can vascular diseases be prevented?

There are steps you can take to help prevent vascular diseases:

  • Make healthy lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Don't smoke. If you are already a smoker, talk to your health care provider for help in finding the best way for you to quit.
  • Keep your blood pressure and cholesterol in check
  • If you have diabetes, control your blood sugar
  • Try not to sit or stand for up long periods of time. If you do need to sit all day, get up and move around every hour or so. If you traveling on a long trip, you can also wear compression stockings and regularly stretch your legs.

[Learn More]