2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99 Factors influencing health status and contact with health services
    3. ›
  3. Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
    4. ›
  4. Z99- Dependence on enabling machines and devices, not elsewhere classified
    5. ›

2020 ICD-10-CM Diagnosis Code Z99.2

Dependence on renal dialysis

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z99.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z99.2 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z99.2 - other international versions of ICD-10 Z99.2 may differ.
Applicable To
  • Hemodialysis status
  • Peritoneal dialysis status
  • Presence of arteriovenous shunt for dialysis
  • Renal dialysis status NOS
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z99.2. A type 1 excludes note is for used for 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 (
    ICD-10-CM Diagnosis Code Z49.0

    Preparatory care for renal dialysis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for dialysis instruction and training
    Z49.0-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z99.2) and the excluded code together.
  • noncompliance with renal dialysis (
    ICD-10-CM Diagnosis Code Z91.15

    Patient's noncompliance with renal dialysis

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Z91.15
    )
The following code(s) above Z99.2 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 Z99.2:
  • Z00-Z99
    2020 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
    2020 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
  • Z99
    ICD-10-CM Diagnosis Code Z99

    Dependence on enabling machines and devices, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cardiac pacemaker status (Z95.0)
    Dependence on enabling machines and devices, not elsewhere classified
Approximate Synonyms
  • Acute renal failure on dialysis
  • Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis
  • Chronic kidney disease on dialysis
  • Chronic kidney disease on hemodialysis
  • Chronic kidney disease with end stage renal disease on dialysis due to drug induced diabetes mellitus
  • Chronic kidney disease with end stage renal disease on dialysis due to secondary diabetes mellitus
  • Chronic kidney disease with end stage renal disease on dialysis due to type 1 diabetes mellitus
  • Chronic kidney disease with end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Continuous ambulatory peritoneal dialysis dependence
  • Continuous cyclic peritoneal dialysis dependence
  • Dependence on continuous ambulatory peritoneal dialysis
  • Dependence on continuous ambulatory peritoneal dialysis due to end stage renal disease
  • Dependence on continuous cyclic peritoneal dialysis
  • Dependence on continuous cyclic peritoneal dialysis due to end stage renal disease
  • Dependence on dialysis due to end stage renal disease
  • Dependence on hemodialysis
  • Dependence on hemodialysis due to end stage renal disease
  • Dependence on peritoneal dialysis
  • Dependence on peritoneal dialysis due to end stage renal disease
  • Dependent on hemodialysis
  • Dependent on peritoneal dialysis
  • Diabetes 1 with end stage renal disease on dialysis
  • Diabetes 2 with end stage renal disease on dialysis
  • Diabetes type 1 on dialysis
  • Diabetes type 2 on dialysis
  • Dm 2 w diabetic ckd, secondary hyperparathyroidism due to esrd, on dialysis
  • Drug induced diabetes chronic kidney disease, dialysis
  • Encounter for peritoneal dialysis done
  • End stage renal disease due to hypertension, on dialysis
  • End stage renal disease on dialysis
  • End stage renal disease on dialysis due to hypertension
  • End stage renal disease on dialysis due to type 2 diabetes mellitus
  • End stage renal disease on peritoneal dialysis
  • End stage renal failure on dialysis
  • Esrd on continuous ambulatory peritoneal dialysis
  • Esrd on continuous cyclic peritoneal dialysis
  • Hemodialysis done
  • Hemodialysis visit
  • Hyperparathyroidism due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 1 diabetes mellitus
  • Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertensive chronic kidney disease on dialysis
  • Hypertensive heart and chronic kidney disease on dialysis
  • Hypertensive heart and chronic kidney disease on dialysis with congestive heart failure
  • Hypertensive kidney and heart disease, on dialysis
  • Left arm arteriovenous shunt present
  • Malignant htn ckd w esrd on dialysis
  • Malignant hypertensive end stage renal disease on dialysis
  • Peritoneal dialysis visit
  • Presence of arteriovenous shunt for hemodialysis
  • Presence of left arm arteriovenous shunt for dialysis
  • Presence of left arm arteriovenous shunt for hemodialysis
  • Presence of right arm arteriovenous shunt for hemodialysis
  • Renal dialysis dependence
  • Renal dialysis done
  • Renal dialysis visit
  • Right arm arteriovenous shunt present
  • Secondary diabetes, chronic kidney disease on dialysis
  • Secondary hyperparathyroidism due to esrd, on dialysis
  • Severe chronic kidney failure with hypertension (htn) on dialysis
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.
  • Z99.2 is considered exempt from POA reporting.
ICD-10-CM Z99.2 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z99.2 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
Code annotations containing back-references to Z99.2:
  • Type 1 Excludes: I77.0
    ICD-10-CM Diagnosis Code I77.0

    Arteriovenous fistula, acquired

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Aneurysmal varix
    • Arteriovenous aneurysm, acquired
    Type 1 Excludes
    • arteriovenous aneurysm NOS (Q27.3-)
    • presence of arteriovenous shunt (fistula) for dialysis (Z99.2)
    • traumatic - see injury of blood vessel by body region
    Type 2 Excludes
  • Use Additional: N18.6
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Chronic kidney disease requiring chronic dialysis
    Use Additional
    • code to identify dialysis status (Z99.2)

Diagnosis Index entries containing back-references to Z99.2:
  • Dependence (on) (syndrome) F19.20
    ICD-10-CM Diagnosis Code F19.20

    Other psychoactive substance dependence, uncomplicated

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Other (or unknown) substance use disorder, moderate
    • Other (or unknown) substance use disorder, severe
    • on
      • renal dialysis Z99.2 (hemodialysis) (peritoneal)
  • Dialysis (intermittent) (treatment)
    • renal Z99.2 (hemodialysis) (peritoneal)
  • Fistula (cutaneous) L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

      2016 2017 2018 2019 2020 Billable/Specific Code
    • arteriovenous (acquired) (nonruptured) I77.0
      ICD-10-CM Diagnosis Code I77.0

      Arteriovenous fistula, acquired

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aneurysmal varix
      • Arteriovenous aneurysm, acquired
      Type 1 Excludes
      • arteriovenous aneurysm NOS (Q27.3-)
      • presence of arteriovenous shunt (fistula) for dialysis (Z99.2)
      • traumatic - see injury of blood vessel by body region
      Type 2 Excludes
  • Presence (of)
    • arterial-venous shunt Z99.2 (dialysis)
  • Shunt
    • arterial-venous Z99.2 (dialysis)
  • Status (post) - see also Presence (of)
    • shunt
      • arteriovenous Z99.2 (for dialysis)
    • dialysis Z99.2 (hemodialysis) (peritoneal)
    • renal dialysis Z99.2 (hemodialysis) (peritoneal)

ICD-10-CM Codes Adjacent To Z99.2
Z98.870 …… during pregnancy
Z98.871 …… while a fetus
Z98.89 Other specified postprocedural states
Z98.890 Other specified postprocedural states
Z98.891 History of uterine scar from previous surgery
Z99 Dependence on enabling machines and devices, not elsewhere classified
Z99.0 Dependence on aspirator
Z99.1 Dependence on respirator
Z99.11 …… [ventilator] status
Z99.12 Encounter for respirator [ventilator] dependence during power failure
Z99.2 Dependence on renal dialysis
Z99.3 Dependence on wheelchair
Z99.8 Dependence on other enabling machines and devices
Z99.81 Dependence on supplemental oxygen
Z99.89 Dependence on other enabling machines and devices

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

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