-
ICD-10-CM Codes
›
-
Z00-Z99
Factors influencing health status and contact with health services
›
-
Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
›
-
Z92-
Personal history of medical treatment
›
-
2021 ICD-10-CM Diagnosis Code Z92.82
2021 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
2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
- Z92.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- Short description: S/p admn tPA in diff fac w/n last 24 hr bef adm to crnt fac
- The 2021 edition of ICD-10-CM Z92.82 became effective on October 1, 2020.
- This is the American ICD-10-CM version of Z92.82 - other international versions of ICD-10 Z92.82 may differ.
Code FirstCode 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.-) - 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
2021 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health servicesNote- 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
2021 ICD-10-CM Range Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health statusCode 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 2019 2020 2021 Non-Billable/Non-Specific Code
Type 2 Excludes- postprocedural states (Z98.-)
Personal history of medical treatment
Approximate Synonyms
- History of administration of tissue plasminogen activator at different facility in last 24 hrs before current admission
- History of tpa (clot buster)
Present On AdmissionPOA 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.
- Z92.82 is considered exempt from POA reporting.
ICD-10-CM Z92.82 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
- 065 Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
- 951 Other factors influencing health status
Convert Z92.82 to ICD-9-CM
Code History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
Code annotations containing back-references to Z92.82:
-
Use Additional: I21, I22, I63
ICD-10-CM Diagnosis Code I21
Acute myocardial infarction
2016 2017 2018 - Revised Code 2019 2020 2021 Non-Billable/Non-Specific Code
Includes- cardiac infarction
- coronary (artery) embolism
- coronary (artery) occlusion
- coronary (artery) rupture
- coronary (artery) thrombosis
- infarction of heart, myocardium, or ventricle
- myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
Type 2 Excludes- old myocardial infarction (I25.2)
- postmyocardial infarction syndrome (I24.1)
- subsequent type 1 myocardial infarction (I22.-)
Use Additional- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I22
Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
Includes- acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
- cardiac infarction
- coronary (artery) embolism
- coronary (artery) occlusion
- coronary (artery) rupture
- coronary (artery) thrombosis
- infarction of heart, myocardium, or ventricle
- recurrent myocardial infarction
- reinfarction of myocardium
- rupture of heart, myocardium, or ventricle
- subsequent type 1 myocardial infarction
Type 1 Excludes- subsequent myocardial infarction, type 2 (I21.A1)
- subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)
Use Additional- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I63
Cerebral infarction
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
Includes- occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction
Type 1 Excludes- neonatal cerebral infarction (P91.82-)
Type 2 Excludes- sequelae of cerebral infarction (I69.3-)
Use Additional- code, 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)
- Administration of tPA Z92.82 (rtPA)
- Status (post) - see also Presence (of)
- administration of tPA Z92.82 (rtPA)
- tPA Z92.82 (rtPA)
- tPA Z92.82 (rtPA)
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
Z93.4 Other artificial openings of gastrointestinal tract status
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.