Z79.623

Z79.623: Long term (current) use of mammalian target of rapamycin (mTOR) inhibitor

Billable / specific codeICD-10-CMPOA exempt

Z79.623 is a billable, specific ICD-10-CM code for long term (current) use of mammalian target of rapamycin (mtor) inhibitor. It is valid for submission on a claim.

Check Z79.623 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 sirolimus

Excludes2 inherited from the categories above Z79.623

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

Z79.623 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57718Billing and Coding: Vitamin D Assay Testing

Alphabetic index entries that lead here

Long-term›mammalian target of rapamycin inhibitor(mTOR)
Long-term›sirolimus

Code history

Unchanged in every release from FY2024 to FY2027.