ICD-10-CM Code Z87.892

Personal history of anaphylaxis

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z87.892 is a billable code used to specify a medical diagnosis of personal history of anaphylaxis. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.892 might also be used to specify conditions or terms like history of anaphylaxis or history of drug-induced anaphylaxis. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.892 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:Z87.892
Short Description:Personal history of anaphylaxis
Long Description:Personal history of anaphylaxis

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z87.892:

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • allergy status such as:
  • allergy status to drugs, medicaments and biological substances Z88
  • allergy status, other than to drugs and biological substances Z91.0

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 Z87.892 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:

  • History of anaphylaxis
  • History of drug-induced anaphylaxis

Present on Admission (POA)

Z87.892 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 Z87.892 to ICD-9

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 other diseases and conditions (Z87)

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


Anaphylaxis

Anaphylaxis is a serious allergic reaction. It can begin very quickly, and symptoms may be life-threatening. The most common causes are reactions to foods (especially peanuts), medications, and stinging insects. Other causes include exercise and exposure to latex. Sometimes no cause can be found.

It can affect many organs:

  • Skin - itching, hives, redness, swelling
  • Nose - sneezing, stuffy nose, runny nose
  • Mouth - itching, swelling of the lips or tongue
  • Throat - itching, tightness, trouble swallowing, swelling of the back of the throat
  • Chest - shortness of breath, coughing, wheezing, chest pain or tightness
  • Heart - weak pulse, passing out, shock
  • Gastrointestinal tract - vomiting, diarrhea, cramps
  • Nervous system - dizziness or fainting

If someone is having a serious allergic reaction, call 911. If an auto-injector is available, give the person the injection right away.


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