ICD-10-CM Code Z86.39

Personal history of other endocrine, nutritional and metabolic disease

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z86.39 is a billable code used to specify a medical diagnosis of personal history of other endocrine, nutritional and metabolic disease. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z86.39 might also be used to specify conditions or terms like diabetes resolved, h/o: admission in last year for hyperglycemic disorder, h/o: diabetes mellitus, h/o: endocrine disorder, h/o: hyperthyroidism, h/o: hypothyroidism, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z86.39 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:Z86.39
Short Description:Personal history of endo, nutritional and metabolic disease
Long Description:Personal history of other endocrine, nutritional and metabolic disease

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 Z86.39 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:

  • Diabetes resolved
  • H/O: Admission in last year for hyperglycemic disorder
  • H/O: diabetes mellitus
  • H/O: endocrine disorder
  • H/O: hyperthyroidism
  • H/O: hypothyroidism
  • H/O: metabolic disorder
  • H/O: nutritional disorder
  • H/O: obesity
  • H/O: raised blood lipids
  • H/O: thyroid disorder
  • History of acromegaly
  • History of adult obesity
  • History of autoimmune disorder of endocrine system
  • History of childhood obesity
  • History of congenital adrenal hyperplasia
  • History of Cushing disease
  • History of Cushing syndrome
  • History of diabetes mellitus type 1
  • History of diabetes mellitus type 2
  • History of Graves' disease
  • History of hyperaldosteronism
  • History of hypercholesterolemia
  • History of iron deficiency
  • History of maturity onset diabetes mellitus in young
  • History of nocturnal hypoglycemia
  • History of nutritional deficiency
  • History of primary hyperparathyroidism
  • Hyperthyroidism resolved
  • Patient condition resolved
  • Patient condition resolved
  • Previous abnormality of glucose tolerance
  • Sequelae of nutritional disorders

Present on Admission (POA)

Z86.39 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 Z86.39 to ICD-9

  • V12.1 - Hx-nutrition deficiency (Approximate Flag)
  • V12.29 - Hx-endocr/meta/immun dis (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


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.


[Learn 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.


[Learn More]