ICD-10-CM Code Z92.3

Personal history of irradiation

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z92.3 is a billable code used to specify a medical diagnosis of personal history of irradiation. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z92.3 might also be used to specify conditions or terms like cancer dataset administrative items, fibrosis of lung caused by radiation, history of brachytherapy, history of external beam radiation therapy, history of external beam radiation to thyroid, history of prostate seed brachytherapy, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z92.3 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:Z92.3
Short Description:Personal history of irradiation
Long Description:Personal history of irradiation

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 Z92.3:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Personal history of exposure to therapeutic radiation

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • exposure to radiation in the physical environment Z77.12
  • occupational exposure to radiation Z57.1

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 Z92.3 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:

  • Cancer dataset administrative items
  • Fibrosis of lung caused by radiation
  • History of brachytherapy
  • History of external beam radiation therapy
  • History of external beam radiation to thyroid
  • History of prostate seed brachytherapy
  • History of radiation therapy
  • History of radiation therapy to breast area
  • History of radiation therapy to chest
  • Pulmonary fibrosis due to and following radiotherapy
  • Radiotherapy course changed - progressive disease during radiotherapy
  • Radiotherapy stopped
  • Reason for change in radiotherapy course

Present on Admission (POA)

Z92.3 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 Z92.3 to ICD-9

  • V15.3 - Hx of irradiation

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 medical treatment (Z92)

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


Radiation Therapy

Radiation therapy is a cancer treatment. It uses high doses of radiation to kill cancer cells and stop them from spreading. About half of all cancer patients receive it. The radiation may be external, from special machines, or internal, from radioactive substances that a doctor places inside your body. The type of radiation therapy you receive depends on many factors, including

  • The type of cancer
  • The size of the cancer
  • The cancer's location in the body
  • How close the cancer is to normal tissues that are sensitive to radiation
  • How far into the body the radiation needs to travel
  • Your general health and medical history
  • Whether you will have other types of cancer treatment
  • Other factors, such as your age and other medical conditions

Radiation therapy can damage normal cells as well as cancer cells. Treatment must be carefully planned to minimize side effects. Common side effects include skin changes and fatigue. Other side effects depend on the part of your body being treated.

Sometimes radiation is used with other treatments, like surgery or chemotherapy.

NIH: National Cancer Institute


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