Z79.3

Z79.3: Long term (current) use of hormonal contraceptives

Billable / specific codeICD-10-CMPOA exempt

Z79.3 is a billable, specific ICD-10-CM code for long term (current) use of hormonal contraceptives. It is valid for submission on a claim.

Check Z79.3 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Long term (current) use of birth control pill or patch

Excludes2 inherited from the categories above Z79.3

Not part of this code, but both may be coded when both are present.

Written on Z79: Long term (current) drug therapy

drug abuse and dependence (F11-F19)
drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)

Other codes that can never be billed with Z79.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z92.0Personal history of contraception

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z79.3 is named in 26 Medicare coverage policies: 26 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54799Billing and Coding: Urine Drug Testing
A55001Billing and Coding: Urine Drug Testing
A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56505Billing and Coding: Transesophageal Echocardiography (TEE)

Alphabetic index entries that lead here

Long-term›birth control pill or patch
Long-term›contraceptive, oral
Long-term›oral›contraceptive
Therapy›drug, long-term›birth control pill or patch
Therapy›drug, long-term›contraceptive, oral
Therapy›drug, long-term›oral contraceptive

Code history

Unchanged in every release from FY2024 to FY2027.