ICD-10-CM Code Z86.19

Personal history of other infectious and parasitic diseases

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z86.19 is a billable code used to specify a medical diagnosis of personal history of other infectious and parasitic diseases. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z86.19 might also be used to specify conditions or terms like h/o: chickenpox, h/o: diphtheria, h/o: infectious disease, h/o: measles, h/o: mumps, h/o: pelvic infection, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z86.19 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:Z86.19
Short Description:Personal history of other infectious and parasitic diseases
Long Description:Personal history of other infectious and parasitic diseases

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 Z86.19 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:

  • H/O: chickenpox
  • H/O: diphtheria
  • H/O: infectious disease
  • H/O: measles
  • H/O: mumps
  • H/O: pelvic infection
  • H/O: rubella
  • H/O: scarlatina
  • H/O: viral illness
  • History of abdominal abscess
  • History of bacterial infection
  • History of chlamydial infection
  • History of Clostridium difficile intestinal infection
  • History of glandular fever
  • History of Haemophilus influenzae type b infection
  • History of Helicobacter pylori infection
  • History of hepatitis A
  • History of hepatitis B
  • History of hepatitis B conferring immunity
  • History of hepatitis C
  • History of herpes simplex keratitis
  • History of herpes zoster
  • History of histoplasmosis
  • History of human papilloma virus infection
  • History of infection caused by multiple drug resistant bacterium
  • History of infection due to vancomycin resistant enterococcus
  • History of left prosthetic hip joint removal due to infection
  • History of left prosthetic knee joint removal due to infection
  • History of left prosthetic shoulder joint removal due to infection
  • History of Lyme disease
  • History of parasitic disease
  • History of pneumococcal infection
  • History of positive Toxoplasma gondii antibody
  • History of right prosthetic hip joint removal due to infection
  • History of right prosthetic knee joint removal due to infection
  • History of right prosthetic shoulder joint removal due to infection
  • History of sepsis
  • History of sexually transmitted disease
  • History of syphilis
  • History of toxoplasmosis
  • History of typhoid
  • History of viral hepatitis
  • Postinfectious state
  • Recent Zika virus infection

Present on Admission (POA)

Z86.19 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 Z86.19 to ICD-9

  • V12.00 - Prsnl hst unsp nfct prst (Approximate Flag)
  • V12.09 - Prsnl hst oth nfct parst (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)
      • Personal history of certain other diseases (Z86)

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


Infectious Diseases

Germs, or microbes, are found everywhere - in the air, soil, and water. There are also germs on your skin and in your body. Many of them are harmless, and some can even be helpful. But some of them can make you sick. Infectious diseases are diseases that are caused by germs.

There are many different ways that you can get an infectious disease:

  • Through direct contact with a person who is sick. This includes kissing, touching, sneezing, coughing, and sexual contact. Pregnant mothers can also pass some germs along to their babies.
  • Through indirect contact, when you touch something that has germs on it. For example, you could get germs if someone who is sick touched a door handle, and then you touch it.
  • Through insect or animal bites
  • Through contaminated food, water, soil, or plants

There are four main kinds of germs:

  • Bacteria - one-celled germs that multiply quickly. They may give off toxins, which are harmful chemicals that can make you sick. Strep throat and urinary tract infections are common bacterial infections.
  • Viruses - tiny capsules that contain genetic material. They invade your cells so that they can multiply. This can kill, damage, or change the cells and make you sick. Viral infections include HIV/AIDS and the common cold.
  • Fungi - primitive plant-like organisms such as mushrooms, mold, mildew, and yeasts. Athlete's foot is a common fungal infection.
  • Parasites - animals or plants that survive by living on or in other living things. Malaria is an infection caused by a parasite.

Infectious diseases can cause many different symptoms. Some are so mild that you may not even notice any symptoms, while others can be life-threatening. There are treatments for some infectious diseases, but for others, such as some viruses, you can only treat your symptoms. You can take steps to prevent many infectious diseases:

  • Get vaccinated
  • Wash your hands often
  • Pay attention to food safety
  • Avoid contact with wild animals
  • Practice safe sex
  • Don't share items such as toothbrushes, combs, and straws

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Parasitic Diseases

Parasites are living things that use other living things - like your body - for food and a place to live. You can get them from contaminated food or water, a bug bite, or sexual contact. Some parasitic diseases are easily treated and some are not.

Parasites range in size from tiny, one-celled organisms called protozoa to worms that can be seen with the naked eye. Some parasitic diseases occur in the United States. Contaminated water supplies can lead to Giardia infections. Cats can transmit toxoplasmosis, which is dangerous for pregnant women. Others, like malaria, are common in other parts of the world.

If you are traveling, it's important to drink only water you know is safe. Prevention is especially important. There are no vaccines for parasitic diseases. Some medicines are available to treat parasitic infections.


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