ICD-10-CM Code Z91.89

Other specified personal risk factors, not elsewhere classified

Version 2020 Replaced Code Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z91.89 is a billable code used to specify a medical diagnosis of other specified personal risk factors, not elsewhere classified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z91.89 might also be used to specify conditions or terms like a/b cover need - dentistry, a/b cover need - surg./dentist, a/b cover need - surgery, alteration in nutrition: potential for more than body requirements, at high risk for breast cancer, at high risk for ebola virus disease, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z91.89 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:Z91.89
Short Description:Oth personal risk factors, not elsewhere classified
Long Description:Other specified personal risk factors, not elsewhere classified

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • Z91.841 - Risk for dental caries, low
  • Z91.842 - Risk for dental caries, moderate
  • Z91.843 - Risk for dental caries, high
  • Z91.849 - Unspecified risk for dental caries

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 Z91.89 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:

  • A/B cover need - dentistry
  • A/B cover need - surg./dentist
  • A/B cover need - surgery
  • Alteration in nutrition: potential for more than body requirements
  • At high risk for breast cancer
  • At high risk for Ebola virus disease
  • At high risk for fall
  • At high risk for heart failure
  • At high risk of atrial fibrillation
  • At high risk of sexually transmitted infection
  • At high risk of tuberculosis infection
  • At high risk of venous thromboembolism
  • At increased risk of bleeding from aspirin therapy
  • At low risk of harm from others
  • At low risk of sexually transmitted infection
  • At low risk of venous thromboembolism
  • At moderate risk for fall
  • At moderate risk of venous thromboembolism
  • At risk accident in home
  • At risk for activity intolerance
  • At risk for acute confusion
  • At risk for acute ischemic cardiac event
  • At risk for anemia
  • At risk for aspiration
  • At risk for autonomic dysreflexia
  • At risk for breastfeeding difficulty
  • At risk for caregiver role strain
  • At risk for cognitive impairment
  • At risk for compromised human dignity
  • At risk for constipation
  • At risk for deficient fluid volume
  • At risk for delayed development
  • At risk for deliberate self harm
  • At risk for depressed mood
  • At risk for depressed mood during postpartum period
  • At risk for destructive behavior to property
  • At risk for disease progression
  • At risk for disorganized infant behavior
  • At risk for disproportionate growth
  • At risk for disuse syndrome
  • At risk for drug therapy problem
  • At risk for dysfunctional grieving
  • At risk for elimination problem
  • At risk for environmental contamination
  • At risk for excess fluid volume
  • At risk for excessive intake of multiple nutrients
  • At risk for falls
  • At risk for falls
  • At risk for heart failure
  • At risk for hopelessness
  • At risk for imbalanced body temperature
  • At risk for imbalanced fluid volume
  • At risk for imbalanced nutrition, less than body requirements
  • At risk for impaired home maintenance management
  • At risk for impaired liver function
  • At risk for impaired parent / infant / child attachment
  • At risk for impaired religiosity
  • At risk for inadequate intake of multiple nutrients
  • At risk for infection of eye
  • At risk for injury
  • At risk for injury due to fall
  • At risk for joint contractures
  • At risk for latex allergy response
  • At risk for negative response to medication
  • At risk for nutritional problem
  • At risk for other-directed violence
  • At risk for perioperative fluid shift
  • At risk for perioperative injury
  • At risk for perioperative positioning injury
  • At risk for perioperative thermal injury
  • At risk for peripheral neurovascular dysfunction
  • At risk for physiological dysfunction
  • At risk for poisoning injury
  • At risk for post-trauma syndrome
  • At risk for powerlessness
  • At risk for psychosocial dysfunction
  • At risk for readmission to hospital
  • At risk for relapse
  • At risk for relocation stress syndrome
  • At risk for self neglect
  • At risk for self-directed violence
  • At risk for self-mutilation
  • At risk for sepsis
  • At risk for situational low self-esteem
  • At risk for social isolation
  • At risk for spiritual distress
  • At risk for spiritual dysfunction
  • At risk for sudden infant death syndrome
  • At risk for suffocation
  • At risk for surgical blood loss
  • At risk for surgical fire
  • At risk for unstable blood glucose level
  • At risk for urge incontinence
  • At risk for violence
  • At risk from fire
  • At risk from passive smoking
  • At risk hypothermia
  • At risk of abuse
  • At risk of adverse drug interaction
  • At risk of anaphylaxis
  • At risk of apnea
  • At risk of atrial fibrillation
  • At risk of being scalded
  • At risk of bradycardia
  • At risk of breast cancer
  • At risk of child abuse
  • At risk of child sexual exploitation
  • At risk of choking
  • At risk of chronic kidney disease
  • At risk of chronic obstructive pulmonary disease
  • At risk of complication of anesthesia
  • At risk of complication of stoma
  • At risk of conflict between religious belief and healthcare recommendation
  • At risk of confusion
  • At risk of coping impairment
  • At risk of deep vein thrombosis
  • At risk of deficient food intake
  • At risk of dehydration
  • At risk of delayed growth
  • At risk of delirium
  • At risk of dementia
  • At risk of diabetes mellitus
  • At risk of diabetic foot ulcer
  • At risk of diarrhea
  • At risk of discriminatory abuse
  • At risk of disease
  • At risk of dissatisfaction with healthcare
  • At risk of domestic violence
  • At risk of drug interaction with food
  • At risk of dysfunctional family grieving
  • At risk of elder abuse
  • At risk of elder neglect
  • At risk of electrolyte imbalance
  • At risk of elopement from healthcare setting
  • At risk of emotional abuse
  • At risk of endocarditis
  • At risk of environmental injury
  • At risk of epileptic fits
  • At risk of female genital mutilation
  • At risk of financial/material mismanagement
  • At risk of fracture of tooth
  • At risk of glaucoma
  • At risk of graft-versus-host disease associated with transfusion
  • At risk of harming others
  • At risk of health care associated complication
  • At risk of heart disease
  • At risk of hemorrhage
  • At risk of honor based violence
  • At risk of hyperthermia
  • At risk of impaired ability to perform caretaking
  • At risk of impaired cardiac function
  • At risk of impaired caregiver child attachment
  • At risk of impaired child development
  • At risk of impaired family coping
  • At risk of impaired fetal development
  • At risk of impaired gastrointestinal system function
  • At risk of impaired nervous system function
  • At risk of impaired psychological state
  • At risk of impaired respiratory system function
  • At risk of impaired school performance
  • At risk of impaired urinary system function
  • At risk of ineffective tissue perfusion
  • At risk of infection of oral mucous membrane
  • At risk of intimate partner abuse
  • At risk of lymphedema
  • At risk of malignancy
  • At risk of medication side effect
  • At risk of negative quality of life
  • At risk of negative response to nurse controlled analgesia
  • At risk of negative response to patient controlled analgesia
  • At risk of neglect by others
  • At risk of nutritional deficit
  • At risk of osteoporosis
  • At risk of osteoporotic fracture
  • At risk of physical abuse
  • At risk of polypharmacy
  • At risk of pressure ulcer
  • At risk of psychological abuse
  • At risk of radiation exposure
  • At risk of radiation injury
  • At risk of radicalization
  • At risk of sexual abuse
  • At risk of sexually transmitted infection
  • At risk of sexually transmitted infection
  • At risk of shock
  • At risk of sleep impairment
  • At risk of transfer injury
  • At risk of unplanned pregnancy
  • At risk of venous thromboembolus
  • At risk of venous thromboembolus due to prolonged immobilization
  • At risk of vomiting
  • At risk violence in the home
  • Baby miscellaneous factors
  • Brief resolved unexplained event
  • Cardiovascular event risk
  • Child at risk
  • Child at risk for overweight body mass index greater than 85 percentile
  • Child at risk of neglect
  • Child on at risk register
  • Cognitive safety issue
  • Contraception risk
  • Critical incident factors
  • Critical incident properties
  • Delivery risk
  • Does not seek care for symptoms needing evaluation
  • Does not seek care for symptoms needing treatment
  • Does not seek consistent healthcare
  • Does not seek preventative healthcare
  • Does not seek routine healthcare
  • Drops unextinguished cigarettes
  • Drops unextinguished matches
  • Environmental safety problem
  • Fertility risk
  • Fetus at risk
  • Finding related to perinatal risk factor
  • Finding related to reproductive risk factor
  • Finding related to reproductive risk factor
  • Finding related to reproductive risk factor
  • Finding related to reproductive risk factor
  • Foot at risk
  • H/O: poisoning
  • H/O: risk factor
  • Harmful oral hygiene habit
  • Has access to lethal means of self harm
  • Head of femur at risk
  • Health seeking behavior alteration
  • Health seeking behavior alteration
  • Health seeking behavior alteration
  • Healthcare Professional at risk
  • Hides lit cigarettes in pockets
  • High risk for cervical cancer
  • High risk immunization
  • High risk of adverse medication event
  • High risk of bleeding
  • High risk of harm to others
  • High risk of heart disease
  • High risk of heart failure, stage A
  • High risk of heart failure, stage B
  • High risk of primary heart disease
  • High risk of self neglect
  • History of being under immunized
  • History of deliberate self neglect
  • History of exposure to dexfenfluramine
  • History of risk factor for suicide
  • History of sleeping out
  • Identified as high risk for travel immunization
  • Ineffective protection
  • Infertility risk
  • Labor risk
  • Likely to spill hot drinks
  • Low risk environment for patient discharge
  • Low risk of harm to others
  • Low risk of harm to self
  • Low risk of primary heart disease
  • Low risk of self neglect
  • Moderate risk of harm to others
  • Moderate risk of primary heart disease
  • Moderate risk of self neglect
  • Mother has a social worker
  • Mother less than 20 years old
  • No safety equipment used
  • Not wearing seat belt
  • Perinatal risk
  • Postpartum risk
  • Predicted excessive nutrient intake
  • Predicted inadequate nutrient intake
  • Propensity to adverse reaction
  • Reproductive risk
  • Risk activity involvement
  • Risk of subacute bacterial endocarditis
  • Risk situation requiring placement on supervision register
  • Shares drug equipment
  • Shares drug injecting equipment
  • Taking high risk medication
  • Travel immunization status
  • Vulnerable adult

Present on Admission (POA)

Z91.89 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 Z91.89 to ICD-9

  • V15.89 - Hx-health hazards 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 risk factors, not elsewhere classified (Z91)

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