Is Z79.3 a billable ICD-10-CM code?

Yes. Z79.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z79.3 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

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.

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

Other codes that can never be billed with Z79.3

These codes carry an Excludes1 note pointing at Z79.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z79.3 alone.

Z92.0Personal history of contraception

Risk adjustment

Z79.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z79.3 is named in 31 Medicare coverage policies — 31 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54799Billing and Coding: Urine Drug Testing
A55001Billing and Coding: Urine Drug Testing
A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56416Billing and Coding: Assays for Vitamins and Metabolic Function

How Z79.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z79.3.

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

Related codes at this level

Codes that share Z79. If Z79.3 is not quite right, the correct code is usually one of these.

Questions about Z79.3

Is Z79.3 a billable ICD-10-CM code?: Yes. Z79.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z79.3 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).