2024 ICD-10-CM Diagnosis Code Z91.89

Other specified personal risk factors, not elsewhere classified

ICD-10-CM Code:
Z91.89
ICD-10 Code for:
Oth personal risk factors, not elsewhere classified
Is Billable?
Yes - Valid for Submission
Code Navigator:

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)

Z91.89 is a billable diagnosis code used to specify a medical diagnosis of other specified personal risk factors, not elsewhere classified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code 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.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Age of parents - finding
  • Alteration in nutrition: potential for more than body requirements
  • 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 aspiration
  • At increased risk for autonomic dysreflexia
  • At increased risk for cardiovascular event
  • At increased risk for caregiver role strain
  • At increased risk for cognitive impairment
  • 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 disorganized infant behavior
  • At increased risk for disproportionate growth
  • At increased risk for disuse syndrome
  • 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 falls
  • At increased risk for heart failure
  • At increased risk for hopelessness
  • At increased risk for hypothermia
  • At increased risk for imbalanced fluid volume
  • At increased risk for impaired home maintenance management
  • At increased risk for impaired liver function
  • At increased risk for impaired religiosity
  • At increased risk for infection of eye
  • At increased risk for injury due to fall
  • At increased risk for joint contracture
  • At increased risk for latex allergy response
  • At increased risk for literacy concern
  • At increased risk for medication error
  • At increased risk for negative response to medication
  • At increased risk for nutritional problem
  • At increased risk for other-directed violence
  • 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 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 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 apnea
  • 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 deep vein thrombosis
  • At increased risk of dehydration
  • At increased risk of delayed growth
  • At increased risk of dementia
  • At increased risk of diabetes mellitus
  • At increased risk of diarrhea
  • At increased risk of disease
  • 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 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 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 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 rabies virus
  • 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 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 caregiver child attachment
  • At increased risk of impaired child development
  • At increased risk of impaired family coping
  • At increased risk of impaired psychological state
  • 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 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 nutritional deficit
  • At increased risk of osteoporosis
  • At increased risk of osteoporotic fracture
  • At increased risk of physical abuse
  • At increased risk of polypharmacy
  • At increased risk of psychological abuse
  • At increased risk of radiation exposure
  • At increased risk of radiation injury
  • At increased risk of recurrent malignant neoplasm
  • At increased risk of self-injurious behavior
  • At increased risk of sexual abuse
  • At increased risk of sexually transmitted infection
  • At increased risk of shock
  • At increased risk of sleep impairment
  • At increased risk of stroke
  • At increased risk of transfer injury
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of foot due to diabetes mellitus
  • At increased risk of ulcer of foot due to diabetes mellitus
  • 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 ulcer of right foot due to diabetes mellitus
  • At increased risk of ulcer of right foot due to diabetes mellitus
  • 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 for breastfeeding difficulty
  • At risk for compromised human dignity
  • At risk for imbalanced nutrition, less than body requirements
  • At risk for impaired parent / infant / child attachment
  • At risk for perioperative fluid shift
  • At risk of coping impairment
  • At risk of deficient food intake
  • At risk of discriminatory abuse
  • At risk of dysfunctional family grieving
  • At risk of impaired ability to perform caretaking
  • At risk of impaired cardiac function
  • At risk of impaired gastrointestinal system function
  • At risk of impaired nervous system function
  • At risk of impaired respiratory system function
  • At risk of pressure injury
  • At risk of unplanned pregnancy
  • 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 on at risk register
  • Child on protection register
  • Cognitive safety issue
  • Critical incident factors
  • Critical incident properties
  • 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 alteration
  • Health seeking behavior alteration
  • 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
  • Taking high risk medication
  • Travel immunization status
  • Vulnerable adult

Clinical Classification

Replaced Code

This code was replaced in the 2024 ICD-10-CM 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, 2023. This code was replaced for the FY 2024 (October 1, 2023 - September 30, 2024).


  • Z91.85 - Personal history of military service

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


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.
  • Increased risk for social isolation

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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.

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 IndicatorReason 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-CM

  • ICD-9-CM Code: V15.89 - Hx-health hazards NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.