Z92.3

Z92.3: Personal history of irradiation

Billable / specific codeICD-10-CMPOA exempt

Z92.3 is a billable, specific ICD-10-CM code for personal history of irradiation. It is valid for submission on a claim.

Check Z92.3 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

exposure to radiation in the physical environment (Z77.12)
occupational exposure to radiation (Z57.1)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Personal history of exposure to therapeutic radiation

Excludes2 inherited from the categories above Z92.3

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

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

Z92.3 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56827Billing and Coding: Proton Beam Therapy
A56874Billing and Coding: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
A57029Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
A58801Billing and Coding: Pharmacogenomics Testing