1. ICD-10-CM Codes
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2. Z00-Z99 Factors influencing health status and contact with health services
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3. Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
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4. Z92- Personal history of medical treatment
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2018 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 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 2018 edition of ICD-10-CM Z92.82 became effective on October 1, 2017.
• This is the American ICD-10-CM version of Z92.82 - other international versions of ICD-10 Z92.82 may differ.

• History of administration of tissue plasminogen activator at different facility in last 24 hrs before current admission
• History of tpa (clot buster)

• Z92.82 is considered exempt from POA reporting.

• 064 Intracranial hemorrhage or cerebral infarction with mcc
• 065 Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
• 066 Intracranial hemorrhage or cerebral infarction without cc/mcc
• 951 Other factors influencing health status

Convert Z92.82 to ICD-9-CM

• 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

• Use Additional: I21
  , I22
  , I63
  ICD-10-CM Diagnosis Code I21

  Acute myocardial infarction

  2016 2017 2018 - Revised Code 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 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 Non-Billable/Non-Specific Code

  Includes

  • occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction

  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)

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