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Z79.899

There is a debate in my department of when you can assign Z79.899 to cover the medical necessity for outpatient services. Some of my peers believe you can only assign Z79.899 per a short list in the appendix in the back of the Optum ICD-10-CM Expert codebook. I believe, per coding guidelines, coding clinic, and the description of the code (other long term (current) drug therapy), it can be assigned. Provided there is supported documentation of a medication not applying to a more specified Z79.xxx code. (ex: Z79.01 for someone prescribed Coumadin.)

Please provide me with anything in regard to Z79.899.

Medical Billing and Coding Forum

Z79.899 Prophylactic Medication

Is it appropriate to use Z79.899 to account for Benadryl taken 30-minutes prior to presentation when a patient is having an allergic reaction (rash) to food ingested. This patient has a history of an allergy to the same food and the medication is NOT listed on the patients long-term (current) medication list.

Medical Billing and Coding Forum

z79.899 diagnosis usage for LCD L35049 Monitored Anesthesia Care

Hello,
I am getting mixed opinions of when to use z79.899. I did refer to the icd-10-cm book, appendix A, and found a long list of examples of medication for each long term diagnoses code, however not finding the answer I need. The only allowed long term med usage diagnoses listed on this MAC policy are z79.3, z79.891, z79.899. Where I am I getting stumped at is the diagnosis z79.899. For eg. I have a patient where they take omeprazole [since May 2017] and have had recent procedures of ASA 00740 was rendered with MAC anesthesia type, with the latest visit the doctor recommending increasing the dosage of the omeprazole. So, for this case, I believe I can use the diagnosis z79.899. Any Thoughts and comments? I really appreciate your help in advance.

Medical Billing and Coding Forum