ICD-10-CM Code Z86.79

Personal history of other diseases of the circulatory system

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z86.79 is a billable code used to specify a medical diagnosis of personal history of 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 Z86.79 might also be used to specify conditions or terms like attends hypertension monitoring, h/o subarachnoid hemorrhage, h/o ventricular fibrillation, h/o: angina in last year, h/o: angina pectoris, h/o: aortic aneurysm, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z86.79 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:Z86.79
Short Description:Personal history of other diseases of the circulatory system
Long Description:Personal history of 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 Z86.79 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:

  • Attends hypertension monitoring
  • H/O subarachnoid hemorrhage
  • H/O ventricular fibrillation
  • H/O: Angina in last year
  • H/O: angina pectoris
  • H/O: aortic aneurysm
  • H/O: atrial fibrillation
  • H/O: cardiovascular disease
  • H/O: embolism
  • H/O: heart disorder
  • H/O: heart failure
  • H/O: Heart failure in last year
  • H/O: hypertension
  • H/O: myocardial problem
  • H/O: rheumatic fever
  • H/O: varicose veins
  • Healed bacterial endocarditis
  • History of acute ST segment elevation myocardial infarction
  • History of Amplatzer repair of atrial septal defect
  • History of anastomosis of superior vena cava to pulmonary artery
  • History of anastomosis of vena cava to pulmonary artery
  • History of aneurysm
  • History of aneurysm
  • History of aneurysm of iliac artery
  • History of angioedema
  • History of aortic valve stenosis
  • History of aortoiliac atherosclerosis
  • History of arteritis
  • History of artery embolism
  • History of atrial flutter
  • History of bidirectional superior cavopulmonary anastomosis
  • History of bradycardia
  • History of cardiac arrest
  • History of cardiac arrhythmia
  • History of cardiomyopathy
  • History of cerebral artery occlusive disease without infarction
  • History of cerebral hemorrhage
  • History of cerebrovascular accident with residual deficit
  • History of cerebrovascular disease
  • History of chest pain
  • History of chronic dissection of thoracic aorta
  • History of claudication
  • History of diabetic peripheral angiopathy
  • History of disorder of soft tissue
  • History of dissection of carotid artery
  • History of dissection of external carotid artery
  • History of dissection of internal carotid artery
  • History of endocarditis
  • History of epidural hematoma
  • History of esophageal varices
  • History of giant cell arteritis
  • History of heart block
  • History of hemorrhage into ventricle of brain
  • History of hemorrhagic cerebrovascular accident with residual deficit
  • History of hypotension
  • History of myocardial infarction
  • History of myocarditis
  • History of nontraumatic ruptured cerebral aneurysm
  • History of occlusion of central retinal artery
  • History of occlusion of cerebral artery
  • History of occlusion of cerebral artery without cerebral infarction
  • History of occlusive disease of artery of lower extremity
  • History of occlusive disease of artery of upper extremity
  • History of palpitations
  • History of paroxysmal atrial tachycardia
  • History of paroxysmal supraventricular tachycardia
  • History of pericarditis
  • History of peripheral arterial occlusive disease
  • History of peripheral vascular disease
  • History of peripheral vascular disease
  • History of portal hypertension
  • History of pseudoaneurysm
  • History of repair of aneurysm of abdominal aorta
  • History of repair of aneurysm of abdominal aorta using endovascular stent graft
  • History of repair of atrial septal defect
  • History of repair of dissecting thoracic aortic aneurysm
  • History of repair of thoracic aortic aneurysm
  • History of sick sinus syndrome
  • History of small vessel disease due to diabetes mellitus
  • History of spinal cord infarct
  • History of stable aneurysm of abdominal aorta
  • History of stenosis of superior vena cava
  • History of subdural hematoma
  • History of supraventricular tachycardia
  • History of surgical procedure on vein
  • History of sustained ventricular fibrillation
  • History of sustained ventricular tachycardia
  • History of syncope
  • History of thoracoabdominal aortic aneurysm
  • History of torsades de pointe caused by drug
  • History of torsades type ventricular tachycardia due to prolonged QT interval
  • History of vasculitis
  • History of visceral aneurysm
  • Hypertension monitoring check done
  • Hypertension monitoring status
  • Hypertension monitoring status
  • Hypertension resolved
  • Hypertension:follow-up default
  • Patient condition resolved
  • Resolution of myocardial ischemia
  • Seen in hypertension clinic
  • Spontaneous closure of acquired interatrial communication
  • Spontaneous closure of residual interatrial communication
  • Spontaneous recanalization of systemic vein

Present on Admission (POA)

Z86.79 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 Z86.79 to ICD-9

  • V12.50 - Hx-circulatory dis NOS (Approximate Flag)
  • V12.59 - Hx-circulatory 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)
      • 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


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


[Learn More]

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]