ICD-10-CM Code Z86.69

Personal history of other diseases of the nervous system and sense organs

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z86.69 is a billable code used to specify a medical diagnosis of personal history of other diseases of the nervous system and sense organs. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z86.69 might also be used to specify conditions or terms like epilepsy resolved, family history of von hippel-lindau syndrome, h/o: amblyopia, h/o: bell's palsy, h/o: brain disorder, h/o: cataract, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z86.69 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:Z86.69
Short Description:Personal history of dis of the nervous sys and sense organs
Long Description:Personal history of other diseases of the nervous system and sense organs

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 Z86.69 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:

  • Epilepsy resolved
  • Family history of Von Hippel-Lindau syndrome
  • H/O: amblyopia
  • H/O: Bell's palsy
  • H/O: brain disorder
  • H/O: cataract
  • H/O: chronic ear infection
  • H/O: CNS disorder
  • H/O: corneal ulcer
  • H/O: ear disorder
  • H/O: epilepsy
  • H/O: eye disorder
  • H/O: glaucoma
  • H/O: hearing problem
  • H/O: iritis
  • H/O: Ménière's disease
  • H/O: migraine
  • H/O: perinatal convulsion
  • H/O: perinatal problem
  • H/O: retinal detachment
  • H/O: TIA
  • H/O: trigeminal neuralgia
  • H/O: vertigo
  • H/O: visual disturbance
  • Healed perforation of ear drum
  • History of - vertigo/Ménière's disease
  • History of amaurosis fugax
  • History of blepharitis
  • History of central serous retinopathy
  • History of cornea graft failure
  • History of disorder of vision
  • History of endophthalmitis
  • History of facial palsy
  • History of Guillain Barre syndrome
  • History of Guillain-Barre syndrome due to influenza immunization
  • History of hearing loss
  • History of hypertensive retinopathy
  • History of idiopathic intracranial hypertension
  • History of migraine with aura
  • History of neurodevelopmental disorder
  • History of optic neuritis
  • History of otitis media
  • History of perforated tympanic membrane
  • History of perinatal cerebral irritability
  • History of scleritis
  • History of single seizure
  • History of tear of retina
  • History of uveitis
  • History of vitreous floater
  • Patient condition resolved
  • Seizure free
  • Seizure free > 12 months
  • Sequela following seizure
  • Sequelae of neurological disorders

Present on Admission (POA)

Z86.69 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 Z86.69 to ICD-9

  • V12.40 - Hx nerv sys/snse org NOS (Approximate Flag)
  • V12.49 - Hx nerv sys/snse org 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)
      • 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


Neurologic Diseases

The brain, spinal cord, and nerves make up the nervous system. Together they control all the workings of the body. When something goes wrong with a part of your nervous system, you can have trouble moving, speaking, swallowing, breathing, or learning. You can also have problems with your memory, senses, or mood.

There are more than 600 neurologic diseases. Major types include

  • Diseases caused by faulty genes, such as Huntington's disease and muscular dystrophy
  • Problems with the way the nervous system develops, such as spina bifida
  • Degenerative diseases, where nerve cells are damaged or die, such as Parkinson's disease and Alzheimer's disease
  • Diseases of the blood vessels that supply the brain, such as stroke
  • Injuries to the spinal cord and brain
  • Seizure disorders, such as epilepsy
  • Cancer, such as brain tumors
  • infections, such as meningitis

[Learn More]