2020 ICD-10-CM Diagnosis Code Z99.3

Dependence on wheelchair

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z99.3 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 Z99.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z99.3 - other international versions of ICD-10 Z99.3 may differ.
Applicable To
  • Wheelchair confinement status
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.
  • cause of dependence, such as:
  • muscular dystrophy (
    ICD-10-CM Diagnosis Code G71.0

    Muscular dystrophy

      2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
    G71.0-
    )
  • obesity (
    ICD-10-CM Diagnosis Code E66
    • E66 Overweight and obesity
      • E66.0 Obesity due to excess calories
        • E66.01 Morbid (severe) obesity due to excess calorie...
        • E66.09 Other obesity due to excess calories
      • E66.1 Drug-induced obesity
      • E66.2 Morbid (severe) obesity with alveolar hypoven...
      • E66.3 Overweight
      • E66.8 Other obesity
      • E66.9 Obesity, unspecified
    E66.-
    )
The following code(s) above Z99.3 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 Z99.3:
  • 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
  • Dependent on wheelchair
  • Wheelchair bound
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.
  • Z99.3 is considered exempt from POA reporting.
ICD-10-CM Z99.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z99.3 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 Z99.3:
  • Type 2 Excludes: Z74.09
    ICD-10-CM Diagnosis Code Z74.09

    Other reduced mobility

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Chairridden
    • Reduced mobility NOS
    Type 2 Excludes
    • wheelchair dependence (Z99.3)

Diagnosis Index entries containing back-references to Z99.3:
  • 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
      • wheelchair Z99.3
  • Status (post) - see also Presence (of)
    • wheelchair confinement Z99.3

ICD-10-CM Codes Adjacent To Z99.3
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.