Z91.040 — Latex allergy status
Z91.040 is a billable, specific ICD-10-CM code for latex allergy status. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Latex sensitivity status
Risk adjustment
Z91.040 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
Z91.040 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52448Billing and Coding: Omalizumab and biosimilar, OMLYCLO® (omalizumab-igec)
- A57473Billing and Coding: Allergy Testing
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60363Billing and Coding: Allergy Diagnostic Testing
How Z91.040 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 Z91.040.
- Sensitive, sensitivity›latex
- History›personal›allergy›latex
Related codes at this level
Codes that share Z91.04. If Z91.040 is not quite right, the correct code is usually one of these.
Questions about Z91.040
- Is Z91.040 a billable ICD-10-CM code?
- Yes. Z91.040 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z91.040 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).