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
Z99- Dependence on enabling machines and devices, not elsewhere classified
2022 ICD-10-CM Diagnosis Code Z99.2

2022 ICD-10-CM Diagnosis Code Z99.2

Dependence on renal dialysis

2016

2017

2018

2019

2020

2021

2022

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 2022 edition of ICD-10-CM Z99.2 became effective on October 1, 2021.
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
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
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
2022 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
2022 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

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 v39.0):

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
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): 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
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
- cerebral (I67.1)
- coronary (I25.4)
Use Additional: N18.6

ICD-10-CM Diagnosis Code N18.6
End stage renal disease
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
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
- arteriovenous (acquired) (nonruptured) I77.0
  ICD-10-CM Diagnosis Code I77.0
  Arteriovenous fistula, acquired
  2016 2017 2018 2019 2020 2021 2022 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
  cerebral (I67.1)
  coronary (I25.4)
  - surgically created (for dialysis) Z99.2
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

U00 COVID-19

U07 Emergency use of U07

U07.0 Vaping-related disorder

U07.1 COVID-19

U09 Post COVID-19 condition

U09.9 Post COVID-19 condition, unspecified

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

2022 ICD-10-CM Diagnosis Code Z99.2

Dependence on renal dialysis

Preparatory care for renal dialysis

Patient's noncompliance with renal dialysis

Factors influencing health status and contact with health services

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

Arteriovenous fistula, acquired

End stage renal disease

Other psychoactive substance dependence, uncomplicated

Other specified disorders of the skin and subcutaneous tissue

Arteriovenous fistula, acquired