Wiki Z76.89 – persons encountering health serviced in other specified circumstances

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Code: Z76.89

Code Name: ICD-10 Code for Persons encountering health services in other specified circumstances

Block: Persons encountering health services in other circumstances (Z69-Z76)

Details: Persons encountering health services in other specified circumstances

Persons encountering health services NOS

Guidelines: Factors influencing health status and contact with health services (Z00-Z99)

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-Y99 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.

For more details on Z76.89, ICD-10 Code for Persons encountering health services in other specified circumstances , visit: https://coder.aapc.com/icd-10-codes/

mgatsos@yahoo.com

Networker
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I have a provider using a DX of “Z76.89 – persons encountering health serviced in other specified circumstances” as the primary DX for new patients, he is using the new patient CPT. The provider insists on keeping it as primary, and yes there are subsequent DXs for the same encounter, does anybody else see this DX, and is it being paid?????????
 

Chelle-Lynn

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Is the new patient coming in for a "sick" visit or a for well visits or to establish care? It was seem odd that the provider is using Z76.89 on every new patient.
 

Dfreddie

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I have a provider who uses it as well when a patient is coming in to establish care with him. one of the synonyms for this code is case/care management. Seems to me it can be used. I also see now it says med review as a synonym too. I'd also like input on this code.
 

CodingKing

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According to the ICD-10-CM guidelines, Z codes should only be used as first listed diagnosis if encounter is for circumstances other than disease or injury. Since there is illness or injury documented Z coded cannot be used as primary. Also Other specified means no other code exists. Chances are there is a specific diagnosis could be used even if it ends up being signs/symptoms (R codes)
 
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