2027 ICD-10-CM Diagnosis Code Z92.82Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
Z92.82 is a billable ICD-10-CM diagnosis code for status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 65, 951. 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 Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z92.82.
Present on Admission (POA)Billing
Z92.82 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z92.82: its own notes plus those printed at Z92, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z92.82, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming Z92.82: its condition is not part of those codes, and both may be reported when the patient has both.
Use Additional Code 3
These codes say to use an additional code from the note, and Z92.82 is one of the codes named.
- I21 Acute myocardial infarctionstatus post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarctionstatus post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- I63 Cerebral infarctioncode, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Status (post) See Also: Presence (of);
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z92.82 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z92.82Overview
Is Z92.82 (Personal history of other medical treatment) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z92.82 group to?
On inpatient claims, status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility maps to MS-DRG 951, 65, with relative weights from 0.5574 to 0.9908 depending on complications. Higher weights mean higher Medicare reimbursement.
Can Z92.82 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z92.82 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 status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.
