Z91.89
Z91.89: Other specified personal risk factors, not elsewhere classified
Billable / specific codeICD-10-CMPOA exempt
Z91.89 is a billable, specific ICD-10-CM code for other specified personal risk factors, not elsewhere classified. It is valid for submission on a claim.
Check Z91.89 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Increased risk for social isolation
Excludes2 inherited from the categories above Z91.89
Not part of this code, but both may be coded when both are present.
Written on Z91: Personal risk factors, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z91.89 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52421Billing and Coding: Ibandronate Sodium
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56779Billing and Coding: Intravenous Immune Globulin
Alphabetic index entries that lead here
- Maltreatment›personal history of
- Problem›personal hygiene
- At risk›for›social isolation
- Failure, failed›Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV›stage A
- History›personal›maltreatment
- History›personal›poisoning NEC
- History›personal›poor personal hygiene
- History›personal›risk factors NEC
Code history
Unchanged in every release from FY2024 to FY2027.