ICD-10 Diagnosis Code Z83.49

Family history of endo, nutritional and metabolic diseases

Diagnosis Code Z83.49

ICD-10: Z83.49
Short Description: Family history of endo, nutritional and metabolic diseases
Long Description: Family history of other endocrine, nutritional and metabolic diseases
This is the 2019 version of the ICD-10-CM diagnosis code Z83.49

Valid for Submission
The code Z83.49 is valid for submission for HIPAA-covered transactions.

Deleted Code Additional informationCallout TooltipDeleted Code
The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018-September 30, 2019).

This code was deleted in the 2019 ICD-10 code set with the code(s) listed below.
  • Z83.42 - Family history of familial hypercholesterolemia
  • Z83.430 - Family history of elevated lipoprotein(a)
  • Z83.438 - Fam hx of disord of lipoprotein metab and other lipidemia

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)
      • Family history of other specific disorders (Z83)

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 Z83.49 is exempt from POA reporting.

  • Family history of 5,10 methylenetetrahydrofolate reductase deficiency
  • Family history of Addison disease
  • Family history of alpha-1-antitrypsin deficiency
  • Family history of Canavan disease
  • Family history of combined hyperlipidemia
  • Family history of cystic fibrosis
  • Family history of disorder of lung
  • Family history of endocrine disorders
  • Family history of eruptive xanthoma
  • Family history of galactosemia
  • Family history of glycogen storage disease
  • Family history of Graves disease
  • Family history of Hashimoto thyroiditis
  • Family history of hemochromatosis
  • Family history of hyperbetalipoproteinemia
  • Family history of hyperlipidemia
  • Family history of hyperparathyroidism
  • Family history of hyperthyroidism
  • Family history of hypertriglyceridemia
  • Family history of hypoalphalipoproteinemia
  • Family history of impaired glucose tolerance
  • Family history of metabolic disorder
  • Family history of methylmalonic aciduria
  • Family history of mitochondrial disease
  • Family history of phenylketonuria
  • Family history of pseudocholinesterase deficiency
  • Family history of tall stature
  • Family history of Tay-Sachs disease
  • Family history of tuberous xanthoma
  • Family history of vitamin B12 deficiency
  • FH: Gout
  • FH: Hypercholesterolemia
  • FH: Hypercholesterolemia in first degree relative
  • FH: Hypothyroidism
  • FH: Liver disease
  • FH: Nutritional deficiency
  • FH: Obesity
  • FH: Polycystic ovaries
  • FH: Porphyria
  • FH: Raised blood lipids
  • FH: Thyroid disorder
  • Maternal nutritional disorder

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

[Read More]

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

  • Creating a family health history (Medical Encyclopedia)
  • Family History Is Important for Your Health (Centers for Disease Control and Prevention)

[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 (Medical Encyclopedia)
  • Alkalosis (Medical Encyclopedia)
  • Lactic acid test (Medical Encyclopedia)
  • Metabolic acidosis (Medical Encyclopedia)
  • Metabolic neuropathies (Medical Encyclopedia)
  • Pseudohypoparathyroidism (Medical Encyclopedia)

[Read More]
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