Z79.620

Z79.620: Long term (current) use of immunosuppressive biologic

Billable / specific codeICD-10-CMPOA exempt

Z79.620 is a billable, specific ICD-10-CM code for long term (current) use of immunosuppressive biologic. It is valid for submission on a claim.

Check Z79.620 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 adalimumab
Long term (current) use of etanercept
Long term (current) use of infliximab
Long term (current) use of monoclonal antibodies

Excludes2 inherited from the categories above Z79.620

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

Written on Z79.6: Long term (current) use of immunomodulators and immunosuppressants

long term (current) use of steroids (Z79.5-)
long term (current) use of agents affecting estrogen receptors and estrogen levels (Z79.81-)

Written on Z79: Long term (current) drug therapy

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

Risk adjustment

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

Medicare coverage

Z79.620 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57206Billing and Coding: Lumbar MRI
A57718Billing and Coding: Vitamin D Assay Testing

Alphabetic index entries that lead here

Long-term›adalimumab
Long-term›etanercept
Long-term›immunosuppressive biologic
Long-term›infliximab
Long-term›monoclonal antibodies

Code history

Unchanged in every release from FY2024 to FY2027.