Z99.2
Z99.2: Dependence on renal dialysis
Billable / specific codeICD-10-CMPOA exempt
Z99.2 is a billable, specific ICD-10-CM code for dependence on renal dialysis. It is valid for submission on a claim.
Check Z99.2 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- encounter for fitting and adjustment of dialysis catheter (Z49.0-)
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.
- noncompliance with renal dialysis (Z91.15-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemodialysis status
- Peritoneal dialysis status
- Presence of arteriovenous shunt for dialysis
- Renal dialysis status NOS
Other codes that can never be billed with Z99.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I77.0Arteriovenous fistula, acquired
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z99.2 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56460Billing and Coding: Dialysis Access Maintenance
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Alphabetic index entries that lead here
- Dialysis›renal, status(hemodialysis) (peritoneal)
- Presence›arterial-venous shunt(dialysis)
- Shunt›arterial-venous(dialysis)
- Status›dialysis(hemodialysis) (peritoneal)
- Status›renal dialysis(hemodialysis) (peritoneal)
- Dependence›on›renal dialysis(hemodialysis) (peritoneal)
- Fistula›arteriovenous›surgically created(for dialysis)
- Status›shunt›arteriovenous(for dialysis)
Code history
Unchanged in every release from FY2024 to FY2027.