2026 ICD-10-CM Diagnosis Code Z91.89Other specified personal risk factors, not elsewhere classified

ICD-10-CM CodesZ00–Z99Z77-Z99Z91

ICD-10-CM Z91.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z91.89 is a billable ICD-10-CM diagnosis code for other specified personal risk factors, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z91.89
Billable Status
Yes — Valid for Submission
Code Describes
Other specified personal risk factors, not elsewhere classified
Short Description
Oth personal risk factors, not elsewhere classified
Parent Code
Other specified personal risk factors, not elsewhere classified

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ91Personal risk factors, not elsewhere classified
This CodeZ91.89Other specified personal risk factors, not elsewhere classified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z91.89.

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.

Present on Admission (POA)Billing

Z91.89 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Age of parents - finding
  • At high risk for bleeding
  • At high risk for Ebola virus disease
  • At high risk for fall
  • At high risk for heart disease
  • At high risk for heart failure
  • At high risk for heart failure stage A
  • At high risk for malignant neoplasm of breast
  • At high risk for primary heart disease
  • At high risk of adverse medication event
  • At high risk of atrial fibrillation
  • At high risk of bleeding due to vitamin K epoxide reductase complex 1 rapid metabolizer
  • At high risk of exposure to human immunodeficiency virus
  • At high risk of heart failure, stage B
  • At high risk of sexually transmitted infection
  • At high risk of tuberculosis infection
  • At high risk of ulcer of left foot due to diabetes mellitus
  • At high risk of ulcer of right foot due to diabetes mellitus
  • At high risk of venous thromboembolism
  • At increased risk for activity intolerance
  • At increased risk for acute confusion
  • At increased risk for acute ischemic cardiac event
  • At increased risk for allergic response
  • At increased risk for Alzheimer's disease
  • At increased risk for aspiration
  • At increased risk for autonomic dysreflexia
  • At increased risk for breastfeeding difficulty
  • At increased risk for cardiovascular event
  • At increased risk for caregiver role strain
  • At increased risk for cognitive impairment
  • At increased risk for complication during labor and delivery
  • At increased risk for compromised human dignity
  • At increased risk for constipation
  • At increased risk for deficient fluid volume
  • At increased risk for delayed development
  • At increased risk for deliberate self harm
  • At increased risk for delirium
  • At increased risk for depressed mood
  • At increased risk for depressed mood during postpartum period
  • At increased risk for destructive behavior to property
  • At increased risk for difficult tracheal intubation
  • At increased risk for disease progression
  • At increased risk for disorder due to contraceptive use
  • At increased risk for disorganized infant behavior
  • At increased risk for disproportionate growth
  • At increased risk for disuse syndrome
  • At increased risk for drug therapy problem
  • At increased risk for dysfunctional grieving
  • At increased risk for elimination problem
  • At increased risk for environmental contamination
  • At increased risk for environmental injury
  • At increased risk for excess fluid volume
  • At increased risk for exposure to potentially harmful entity
  • At increased risk for falls
  • At increased risk for female infertility
  • At increased risk for fetal disorder
  • At increased risk for fracture of head of femur
  • At increased risk for heart failure
  • At increased risk for heritable disorder
  • At increased risk for hopelessness
  • At increased risk for hypothermia
  • At increased risk for imbalanced fluid volume
  • At increased risk for imbalanced nutrition, less than body requirements
  • At increased risk for impaired home maintenance management
  • At increased risk for impaired liver function
  • At increased risk for impaired parent to child or infant attachment
  • At increased risk for impaired religiosity
  • At increased risk for impaired skin integrity
  • At increased risk for infection
  • At increased risk for infection of eye
  • At increased risk for injury due to fall
  • At increased risk for intrauterine asphyxia
  • At increased risk for joint contracture
  • At increased risk for latex allergy response
  • At increased risk for literacy concern
  • At increased risk for loneliness
  • At increased risk for male infertility
  • At increased risk for maternal perinatal disorder
  • At increased risk for medication error
  • At increased risk for negative response to medication
  • At increased risk for noncompliance
  • At increased risk for nutritional problem
  • At increased risk for other-directed violence
  • At increased risk for perinatal disorder
  • At increased risk for perioperative fluid shift
  • At increased risk for perioperative injury
  • At increased risk for perioperative positioning injury
  • At increased risk for perioperative thermal injury
  • At increased risk for peripheral neurovascular dysfunction
  • At increased risk for poisoning injury
  • At increased risk for postpartum disorder
  • At increased risk for post-trauma syndrome
  • At increased risk for powerlessness
  • At increased risk for psychosocial dysfunction
  • At increased risk for radicalization
  • At increased risk for readmission to hospital
  • At increased risk for relapse
  • At increased risk for relocation stress syndrome
  • At increased risk for self neglect
  • At increased risk for self-mutilation
  • At increased risk for situational low self-esteem
  • At increased risk for social isolation
  • At increased risk for spiritual distress
  • At increased risk for spiritual dysfunction
  • At increased risk for stress
  • At increased risk for sudden infant death syndrome
  • At increased risk for suffocation
  • At increased risk for surgical blood loss
  • At increased risk for surgical fire
  • At increased risk for traumatic injury
  • At increased risk for unplanned pregnancy
  • At increased risk for unstable blood glucose level
  • At increased risk for urge incontinence
  • At increased risk for violence
  • At increased risk from fire
  • At increased risk from passive smoking
  • At increased risk of abuse
  • At increased risk of accident in home
  • At increased risk of adverse drug interaction
  • At increased risk of anaphylaxis
  • At increased risk of anemia
  • At increased risk of angle closure glaucoma
  • At increased risk of apnea
  • At increased risk of arterial thromboembolus
  • At increased risk of atrial fibrillation
  • At increased risk of bacterial endocarditis
  • At increased risk of being scalded
  • At increased risk of being underweight
  • At increased risk of bleeding from aspirin therapy
  • At increased risk of bradycardia
  • At increased risk of cardiovascular disease
  • At increased risk of child sexual exploitation
  • At increased risk of choking
  • At increased risk of chronic kidney disease
  • At increased risk of chronic obstructive pulmonary disease
  • At increased risk of complication of anesthesia
  • At increased risk of complication of stoma
  • At increased risk of conflict between religious belief and healthcare recommendation
  • At increased risk of confusion
  • At increased risk of coping impairment
  • At increased risk of coronary heart disease
  • At increased risk of cross-infection
  • At increased risk of deep vein thrombosis
  • At increased risk of deficient food intake
  • At increased risk of dehydration
  • At increased risk of delayed growth
  • At increased risk of delayed healing of surgical wound
  • At increased risk of dementia
  • At increased risk of depression
  • At increased risk of diabetes mellitus
  • At increased risk of diarrhea
  • At increased risk of discriminatory abuse
  • At increased risk of disease
  • At increased risk of disorientation
  • At increased risk of dissatisfaction with healthcare
  • At increased risk of domestic violence
  • At increased risk of drug interaction with food
  • At increased risk of dysfunctional family grieving
  • At increased risk of elder abuse
  • At increased risk of elder neglect
  • At increased risk of electrolyte imbalance
  • At increased risk of elopement from healthcare setting
  • At increased risk of embolism
  • At increased risk of emergency hospital admission
  • At increased risk of emotional abuse
  • At increased risk of endocarditis
  • At increased risk of epileptic fits
  • At increased risk of exposure to Bordetella pertussis
  • At increased risk of exposure to communicable disease
  • At increased risk of exposure to European tick-borne encephalitis virus
  • At increased risk of exposure to Haemophilus influenzae type b
  • At increased risk of exposure to hepatitis A virus
  • At increased risk of exposure to hepatitis B virus
  • At increased risk of exposure to Human alphaherpesvirus 3
  • At increased risk of exposure to human poliovirus
  • At increased risk of exposure to Influenza virus
  • At increased risk of exposure to Leptospira
  • At increased risk of exposure to Lyssavirus rabies
  • At increased risk of exposure to Measles virus
  • At increased risk of exposure to monkeypox virus
  • At increased risk of exposure to Mumps virus
  • At increased risk of exposure to Neisseria meningitidis
  • At increased risk of exposure to Rubella virus
  • At increased risk of exposure to SARS-CoV-2
  • At increased risk of exposure to Streptococcus pneumoniae
  • At increased risk of exposure to tuberculosis
  • At increased risk of female genital mutilation
  • At increased risk of financial abuse
  • At increased risk of financial and/or material mismanagement
  • At increased risk of food intake greater than requirement
  • At increased risk of forced marriage
  • At increased risk of fracture of tooth
  • At increased risk of glaucoma
  • At increased risk of graft-versus-host disease associated with transfusion
  • At increased risk of health care associated complication
  • At increased risk of healthcare associated infection
  • At increased risk of heart disease
  • At increased risk of hemorrhage
  • At increased risk of hereditary cancer-predisposing syndrome
  • At increased risk of honor based violence
  • At increased risk of human trafficking
  • At increased risk of hyperthermia
  • At increased risk of impaired ability to perform caretaking
  • At increased risk of impaired cardiac function
  • At increased risk of impaired caregiver child attachment
  • At increased risk of impaired child development
  • At increased risk of impaired family coping
  • At increased risk of impaired gastrointestinal system function
  • At increased risk of impaired musculoskeletal function
  • At increased risk of impaired nervous system function
  • At increased risk of impaired psychological state
  • At increased risk of impaired respiratory system function
  • At increased risk of impaired school performance
  • At increased risk of impaired urinary system function
  • At increased risk of ineffective tissue perfusion
  • At increased risk of infection of oral mucous membrane
  • At increased risk of institutional abuse
  • At increased risk of intimate partner violence
  • At increased risk of language barrier
  • At increased risk of lymphedema
  • At increased risk of malignancy
  • At increased risk of malignant hyperthermia
  • At increased risk of malignant neoplasm of breast
  • At increased risk of medication side effect
  • At increased risk of miscarriage
  • At increased risk of negative quality of life
  • At increased risk of negative response to nurse controlled analgesia
  • At increased risk of negative response to patient controlled analgesia
  • At increased risk of neglect by others
  • At increased risk of neoplastic disease
  • At increased risk of opioid-induced respiratory depression
  • At increased risk of osteoporosis
  • At increased risk of osteoporotic fracture
  • At increased risk of physical abuse
  • At increased risk of placenta previa
  • At increased risk of polypharmacy
  • At increased risk of postoperative nausea and vomiting
  • At increased risk of psychological abuse
  • At increased risk of pulmonary edema
  • At increased risk of radiation exposure
  • At increased risk of radiation injury
  • At increased risk of recurrent malignant neoplasm
  • At increased risk of respiratory distress
  • At increased risk of self-injurious behavior
  • At increased risk of sepsis
  • At increased risk of severe course of COVID-19
  • At increased risk of sexual abuse
  • At increased risk of sexually transmitted infection
  • At increased risk of shock
  • At increased risk of situational crisis
  • At increased risk of sleep impairment
  • At increased risk of stroke
  • At increased risk of substance withdrawal
  • At increased risk of thrombophlebitis
  • At increased risk of transfer injury
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of left foot due to diabetes mellitus
  • At increased risk of ulcer of right foot due to diabetes mellitus
  • At increased risk of urinary tract infection
  • At increased risk of venous thromboembolus
  • At increased risk of venous thromboembolus due to prolonged immobilization
  • At increased risk of vomiting
  • At increased risk violence in the home
  • At low risk for primary heart disease
  • At low risk for self-neglect
  • At low risk of harm from others
  • At low risk of sexually transmitted infection
  • At low risk of ulcer of left foot due to diabetes mellitus
  • At low risk of ulcer of right foot due to diabetes mellitus
  • At low risk of venous thromboembolism
  • At moderate risk for fall
  • At moderate risk for primary heart disease
  • At moderate risk of ulcer of left foot due to diabetes mellitus
  • At moderate risk of ulcer of right foot due to diabetes mellitus
  • At moderate risk of venous thromboembolism
  • At risk of pressure injury
  • Brief resolved unexplained event
  • Child at increased risk for overweight body mass index greater than 85 percentile
  • Child at increased risk of abuse
  • Child at increased risk of neglect
  • Child at risk
  • Child on at risk register
  • Child on protection register
  • Cognitive safety issue
  • Diastolic heart failure stage A
  • 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
  • H/O: deliberate self harm
  • H/O: poisoning
  • Harmful oral hygiene habit
  • Has access to lethal means of self harm
  • Health seeking behavior
  • Health seeking behavior alteration
  • Hides lit cigarettes in pockets
  • High risk for cervical cancer
  • High risk immunization
  • High risk of cardiovascular disease
  • High risk of harm to others
  • High risk of self neglect
  • History of being under immunized
  • History of deliberate self neglect
  • History of exposure to dexfenfluramine
  • History of homeless
  • History of risk factor
  • History of risk factor for suicide
  • History of sexual behavior with high risk of exposure to communicable disease
  • History of sleeping out
  • History of travel with high risk of exposure to communicable disease
  • Identified as high risk for travel immunization
  • Increased runaway risk
  • Ineffective protection
  • Low risk environment for patient discharge
  • Low risk of harm to others
  • Low risk of harm to self
  • Moderate risk of harm to others
  • Moderate risk of self neglect
  • Mother has a social worker
  • Mother less than 20 years old
  • No safety equipment used
  • Not wearing seat belt
  • Predicted excessive nutrient intake
  • Predicted inadequate nutrient intake
  • Propensity to adverse reaction
  • Risk activity involvement
  • Self abuse
  • Self-induced disease
  • Shares drug equipment
  • Shares drug injecting equipment
  • Social worker involved
  • Systolic heart failure stage A
  • Taking high risk medication
  • Toxicophilic habits
  • Travel immunization status
  • Vulnerable adult

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Increased risk for social isolation

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • At risk
      • for
        • social isolation
    • Failure, failed
      • Note
        • stage A
    • History
      • personal (of)
        • maltreatment
    • History
      • personal (of)
        • poisoning NEC
    • History
      • personal (of)
        • poor personal hygiene
    • History
      • personal (of)
        • risk factors NEC
    • Maltreatment
      • personal history of
    • Problem(with) (related to)
      • personal hygiene

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z91.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V15.89 Hx-health hazards NEC
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replaced This code was replaced in the FY 2026 code set by:

  • Z91.B - Personal risk factor of exposure to diethylstilbestrol
FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z91.89Overview

Is Z91.89 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified personal risk factors, not elsewhere classified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z91.89 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because other specified personal risk factors, not elsewhere classified describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z91.89 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other specified personal risk factors, not elsewhere classified on inpatient claims.

What is the ICD-9 equivalent of Z91.89?

Under the General Equivalence Mappings, other specified personal risk factors, not elsewhere classified converts to ICD-9-CM V15.89 (hx-health hazards NEC). The mapping is approximate, so confirm the match fits the documentation.