2017/18 ICD-10-CM Diagnosis Code Z92.82

Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • condition requiring tPA administration, such as:
  • acute cerebral infarction (
    ICD-10-CM Diagnosis Code I63
    • I63 Cerebral infarction
      • I63.0 Cerebral infarction due to thrombosis of prec...
        • I63.00 Cerebral infarction due to thrombosis of unsp...
        • I63.01 Cerebral infarction due to thrombosis of vert...
          • I63.011 Cerebral infarction due to thrombosis of righ...
          • I63.012 Cerebral infarction due to thrombosis of left...
          • I63.013 Cerebral infarction due to thrombosis of bila...
          • I63.019 Cerebral infarction due to thrombosis of unsp...
        • I63.02 Cerebral infarction due to thrombosis of basi...
        • I63.03 Cerebral infarction due to thrombosis of caro...
          • I63.031 Cerebral infarction due to thrombosis of righ...
          • I63.032 Cerebral infarction due to thrombosis of left...
          • I63.033 Cerebral infarction due to thrombosis of bila...
          • I63.039 Cerebral infarction due to thrombosis of unsp...
        • I63.09 Cerebral infarction due to thrombosis of othe...
      • I63.1 Cerebral infarction due to embolism of precer...
        • I63.10 Cerebral infarction due to embolism of unspec...
        • I63.11 Cerebral infarction due to embolism of verteb...
          • I63.111 Cerebral infarction due to embolism of right ...
          • I63.112 Cerebral infarction due to embolism of left v...
          • I63.113 Cerebral infarction due to embolism of bilate...
          • I63.119 Cerebral infarction due to embolism of unspec...
        • I63.12 Cerebral infarction due to embolism of basila...
        • I63.13 Cerebral infarction due to embolism of caroti...
          • I63.131 Cerebral infarction due to embolism of right ...
          • I63.132 Cerebral infarction due to embolism of left c...
          • I63.133 Cerebral infarction due to embolism of bilate...
          • I63.139 Cerebral infarction due to embolism of unspec...
        • I63.19 Cerebral infarction due to embolism of other ...
      • I63.2 Cerebral infarction due to unspecified occlus...
        • I63.20 Cerebral infarction due to unspecified occlus...
        • I63.21 Cerebral infarction due to unspecified occlus...
          • I63.211 Cerebral infarction due to unspecified occlus...
          • I63.212 Cerebral infarction due to unspecified occlus...
          • I63.213 Cerebral infarction due to unspecified occlus...
          • I63.219 Cerebral infarction due to unspecified occlus...
        • I63.22 Cerebral infarction due to unspecified occlus...
        • I63.23 Cerebral infarction due to unspecified occlus...
          • I63.231 Cerebral infarction due to unspecified occlus...
          • I63.232 Cerebral infarction due to unspecified occlus...
          • I63.233 Cerebral infarction due to unspecified occlus...
          • I63.239 Cerebral infarction due to unspecified occlus...
        • I63.29 Cerebral infarction due to unspecified occlus...
      • I63.3 Cerebral infarction due to thrombosis of cere...
        • I63.30 Cerebral infarction due to thrombosis of unsp...
        • I63.31 Cerebral infarction due to thrombosis of midd...
          • I63.311 Cerebral infarction due to thrombosis of righ...
          • I63.312 Cerebral infarction due to thrombosis of left...
          • I63.313 Cerebral infarction due to thrombosis of bila...
          • I63.319 Cerebral infarction due to thrombosis of unsp...
        • I63.32 Cerebral infarction due to thrombosis of ante...
          • I63.321 Cerebral infarction due to thrombosis of righ...
          • I63.322 Cerebral infarction due to thrombosis of left...
          • I63.323 Cerebral infarction due to thrombosis of bila...
          • I63.329 Cerebral infarction due to thrombosis of unsp...
        • I63.33 Cerebral infarction due to thrombosis of post...
          • I63.331 Cerebral infarction due to thrombosis of righ...
          • I63.332 Cerebral infarction due to thrombosis of left...
          • I63.333 Cerebral infarction to thrombosis of bilatera...
          • I63.339 Cerebral infarction due to thrombosis of unsp...
        • I63.34 Cerebral infarction due to thrombosis of cere...
          • I63.341 Cerebral infarction due to thrombosis of righ...
          • I63.342 Cerebral infarction due to thrombosis of left...
          • I63.343 Cerebral infarction to thrombosis of bilatera...
          • I63.349 Cerebral infarction due to thrombosis of unsp...
        • I63.39 Cerebral infarction due to thrombosis of othe...
      • I63.4 Cerebral infarction due to embolism of cerebr...
        • I63.40 Cerebral infarction due to embolism of unspec...
        • I63.41 Cerebral infarction due to embolism of middle...
          • I63.411 Cerebral infarction due to embolism of right ...
          • I63.412 Cerebral infarction due to embolism of left m...
          • I63.413 Cerebral infarction due to embolism of bilate...
          • I63.419 Cerebral infarction due to embolism of unspec...
        • I63.42 Cerebral infarction due to embolism of anteri...
          • I63.421 Cerebral infarction due to embolism of right ...
          • I63.422 Cerebral infarction due to embolism of left a...
          • I63.423 Cerebral infarction due to embolism of bilate...
          • I63.429 Cerebral infarction due to embolism of unspec...
        • I63.43 Cerebral infarction due to embolism of poster...
          • I63.431 Cerebral infarction due to embolism of right ...
          • I63.432 Cerebral infarction due to embolism of left p...
          • I63.433 Cerebral infarction due to embolism of bilate...
          • I63.439 Cerebral infarction due to embolism of unspec...
        • I63.44 Cerebral infarction due to embolism of cerebe...
          • I63.441 Cerebral infarction due to embolism of right ...
          • I63.442 Cerebral infarction due to embolism of left c...
          • I63.443 Cerebral infarction due to embolism of bilate...
          • I63.449 Cerebral infarction due to embolism of unspec...
        • I63.49 Cerebral infarction due to embolism of other ...
      • I63.5 Cerebral infarction due to unspecified occlus...
        • I63.50 Cerebral infarction due to unspecified occlus...
        • I63.51 Cerebral infarction due to unspecified occlus...
          • I63.511 Cerebral infarction due to unspecified occlus...
          • I63.512 Cerebral infarction due to unspecified occlus...
          • I63.513 Cerebral infarction due to unspecified occlus...
          • I63.519 Cerebral infarction due to unspecified occlus...
        • I63.52 Cerebral infarction due to unspecified occlus...
          • I63.521 Cerebral infarction due to unspecified occlus...
          • I63.522 Cerebral infarction due to unspecified occlus...
          • I63.523 Cerebral infarction due to unspecified occlus...
          • I63.529 Cerebral infarction due to unspecified occlus...
        • I63.53 Cerebral infarction due to unspecified occlus...
          • I63.531 Cerebral infarction due to unspecified occlus...
          • I63.532 Cerebral infarction due to unspecified occlus...
          • I63.533 Cerebral infarction due to unspecified occlus...
          • I63.539 Cerebral infarction due to unspecified occlus...
        • I63.54 Cerebral infarction due to unspecified occlus...
          • I63.541 Cerebral infarction due to unspecified occlus...
          • I63.542 Cerebral infarction due to unspecified occlus...
          • I63.543 Cerebral infarction due to unspecified occlus...
          • I63.549 Cerebral infarction due to unspecified occlus...
        • I63.59 Cerebral infarction due to unspecified occlus...
      • I63.6 Cerebral infarction due to cerebral venous th...
      • I63.8 Other cerebral infarction
      • I63.9 Cerebral infarction, unspecified
    I63.-
    )
  • acute myocardial infarction (
    ICD-10-CM Diagnosis Code I21
    • I21 Acute myocardial infarction
      • I21.0 ST elevation (STEMI) myocardial infarction of...
        • I21.01 ST elevation (STEMI) myocardial infarction in...
        • I21.02 ST elevation (STEMI) myocardial infarction in...
        • I21.09 ST elevation (STEMI) myocardial infarction in...
      • I21.1 ST elevation (STEMI) myocardial infarction of...
        • I21.11 ST elevation (STEMI) myocardial infarction in...
        • I21.19 ST elevation (STEMI) myocardial infarction in...
      • I21.2 ST elevation (STEMI) myocardial infarction of...
        • I21.21 ST elevation (STEMI) myocardial infarction in...
        • I21.29 ST elevation (STEMI) myocardial infarction in...
      • I21.3 ST elevation (STEMI) myocardial infarction of...
      • I21.4 Non-ST elevation (NSTEMI) myocardial infarcti...
      • I21.9 Acute myocardial infarction, unspecified
      • I21.A Other type of myocardial infarction
        • I21.A1 Myocardial infarction type 2
        • I21.A9 Other myocardial infarction type
    I21.-
    ,
    ICD-10-CM Diagnosis Code I22
    • I22 Subsequent ST elevation (STEMI) and non-ST el...
      • I22.0 Subsequent ST elevation (STEMI) myocardial in...
      • I22.1 Subsequent ST elevation (STEMI) myocardial in...
      • I22.2 Subsequent non-ST elevation (NSTEMI) myocardi...
      • I22.8 Subsequent ST elevation (STEMI) myocardial in...
      • I22.9 Subsequent ST elevation (STEMI) myocardial in...
    I22.-
    )
The following code(s) above Z92.82 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z92.82:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2018 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z92
    ICD-10-CM Diagnosis Code Z92

    Personal history of medical treatment

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • postprocedural states (Z98.-)
    Personal history of medical treatment
Approximate Synonyms Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
ICD-10-CM Z92.82 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert Z92.82 to ICD-9-CM

Code History
Code annotations containing back-references to Z92.82:

Diagnosis Index entries containing back-references to Z92.82:

ICD-10-CM Codes Adjacent To Z92.82
Z92.22 Personal history of monoclonal drug therapy
Z92.23 Personal history of estrogen therapy
Z92.24 Personal history of steroid therapy
Z92.240 Personal history of inhaled steroid therapy
Z92.241 Personal history of systemic steroid therapy
Z92.25 Personal history of immunosupression therapy
Z92.29 Personal history of other drug therapy
Z92.3 Personal history of irradiation
Z92.8 Personal history of other medical treatment
Z92.81 Personal history of extracorporeal membrane oxygenation (ECMO)
Z92.82 Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
Z92.83 Personal history of failed moderate sedation
Z92.84 Personal history of unintended awareness under general anesthesia
Z92.89 Personal history of other medical treatment
Z93 Artificial opening status
Z93.0 Tracheostomy status
Z93.1 Gastrostomy status
Z93.2 Ileostomy status
Z93.3 Colostomy status
Z93.4 Other artificial openings of gastrointestinal tract status
Z93.5 Cystostomy status

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.