Z79.85

Z79.85: Long-term (current) use of injectable non-insulin antidiabetic drugs

Billable / specific codeICD-10-CMPOA exempt

Z79.85 is a billable, specific ICD-10-CM code for long-term (current) use of injectable non-insulin antidiabetic drugs. It is valid for submission on a claim.

Check Z79.85 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

long term (current) use of insulin (Z79.4)
long term (current) use of oral hypoglycemic drugs (Z79.84)

Excludes2 inherited from the categories above Z79.85

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-)

Risk adjustment

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

Medicare coverage

Z79.85 is named in 23 Medicare coverage policies: 23 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56476Billing and Coding: Cardiac Radionuclide Imaging
A56625Billing and Coding: Echocardiography
A56686Billing and Coding: HbA1c
A56795Billing and Coding: Erythropoiesis Stimulating Agents (ESAs)

Alphabetic index entries that lead here

Long-term›antidiabetic drugs, injectable, non-insulin
Long-term›non-insulin antidiabetic drug, injectable

Code history

Unchanged in every release from FY2024 to FY2027.