ICD-10-CM Code Z99.2

Dependence on renal dialysis

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z99.2 is a billable code used to specify a medical diagnosis of dependence on renal dialysis. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z99.2 might also be used to specify conditions or terms like abdominal hernia as complication of peritoneal dialysis, acute disorder of hemodialysis, acute renal failure on dialysis, chronic kidney disease stage 5 on dialysis, dependence on continuous ambulatory peritoneal dialysis, dependence on continuous cycling peritoneal dialysis, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z99.2 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:Z99.2
Short Description:Dependence on renal dialysis
Long Description:Dependence on renal dialysis

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 Z99.2:

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.
  • Hemodialysis status
  • Peritoneal dialysis status
  • Presence of arteriovenous shunt for dialysis
  • Renal dialysis status NOS

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.
  • encounter for fitting and adjustment of dialysis catheter Z49.0

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • noncompliance with renal dialysis Z91.15

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 Z99.2 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:

  • Abdominal hernia as complication of peritoneal dialysis
  • Acute disorder of hemodialysis
  • Acute renal failure on dialysis
  • Chronic kidney disease stage 5 on dialysis
  • Dependence on continuous ambulatory peritoneal dialysis
  • Dependence on continuous cycling peritoneal dialysis
  • Dependence on dialysis due to end stage renal disease
  • Dependence on hemodialysis
  • Dependence on hemodialysis
  • Dependence on hemodialysis due to end stage renal disease
  • Dependence on peritoneal dialysis
  • Dependence on peritoneal dialysis
  • Dependence on peritoneal dialysis due to end stage renal disease
  • Dependence on renal dialysis
  • Dependence on renal dialysis
  • Dialysis disequilibrium syndrome
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease on dialysis due to hypertension
  • End stage renal disease on dialysis due to type 1 diabetes mellitus
  • End stage renal disease on dialysis due to type 1 diabetes mellitus
  • End stage renal disease on dialysis due to type 2 diabetes mellitus
  • End stage renal disease on dialysis due to type 2 diabetes mellitus
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • Hemodialysis procedure done
  • Hyperparathyroidism due to end stage renal disease on dialysis
  • Hyperparathyroidism due to renal insufficiency
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 1 diabetes mellitus
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertensive heart AND chronic kidney disease on dialysis
  • Inadequate flow to support prescribed dialysis blood flow
  • Injection given
  • Malignant hypertensive end stage renal disease on dialysis
  • Peritoneal dialysis catheter in situ
  • Renal dialysis done
  • Secondary hyperparathyroidism
  • Temporary peritoneal dialysis catheter in situ

Present on Admission (POA)

Z99.2 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 Z99.2 to ICD-9

  • V45.11 - Renal dialysis status

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)
      • Dependence on enabling machines and devices, NEC (Z99)

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


Dialysis

When your kidneys are healthy, they clean your blood. They also make hormones that keep your bones strong and your blood healthy. When your kidneys fail, you need treatment to replace the work your kidneys used to do. Unless you have a kidney transplant, you will need a treatment called dialysis.

There are two main types of dialysis. Both types filter your blood to rid your body of harmful wastes, extra salt, and water.

  • Hemodialysis uses a machine. It is sometimes called an artificial kidney. You usually go to a special clinic for treatments several times a week.
  • Peritoneal dialysis uses the lining of your abdomen, called the peritoneal membrane, to filter your blood.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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