Z79.69

Z79.69: Long term (current) use of other immunomodulators and immunosuppressants

Billable / specific codeICD-10-CMPOA exempt

Z79.69 is a billable, specific ICD-10-CM code for long term (current) use of other immunomodulators and immunosuppressants. It is valid for submission on a claim.

Check Z79.69 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z79.69

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

Z79.69 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57718Billing and Coding: Vitamin D Assay Testing
A59186Billing and Coding: Magnesium

Alphabetic index entries that lead here

Long-term›immunomodulators, unspecified›specified NEC
Long-term›immunosuppressants, unspecified›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.