Z92.22

Z92.22: Personal history of monoclonal drug therapy

Billable / specific codeICD-10-CMPOA exempt

Z92.22 is a billable, specific ICD-10-CM code for personal history of monoclonal drug therapy. It is valid for submission on a claim.

Check Z92.22 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.

personal history of immune checkpoint inhibitor therapy (Z92.26)

Excludes2 inherited from the categories above Z92.22

Not part of this code, but both may be coded when both are present.

Written on Z92.2: Personal history of drug therapy

long term (current) drug therapy (Z79.-)

Written on Z92: Personal history of medical treatment

postprocedural states (Z98.-)

Risk adjustment

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

Medicare coverage

Z92.22 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56907Billing and Coding: Bisphosphonate Drug Therapy
A57189Billing and Coding: Serum Magnesium
A59561Billing and Coding: Bisphosphonate Drug Therapy

Alphabetic index entries that lead here

History›personal›drug therapy›monoclonal drug

Code history

Unchanged in every release from FY2024 to FY2027.