Z84.11 ICD-10-CM Code: Family history of APOL1-mediated kidney disease [AMKD]
Compare with another codeCheck this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 code-also instruction
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
- Code alsoMay be needed with this code
- any follow-up examination (Z08-Z09)
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z84.11 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on Z84.11 itself; “inherited from” names the category or block whose note applies here.
Code Also
Additional codes that may be required to fully describe the encounter.
- any follow-up examination (Z08-Z09)
Source: inherited from Z77-Z99
Coder workflow for Z84.11
MedCoder structured workflow — derived from this code’s own official record
Before you code Z84.11
- Confirm the reason for the encounter this Z code records: a personal or family history — a condition no longer present or present in a relative — never a current condition. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c.4, I.C.21.c.15).
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The reason for the encounter
- Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).
Official instructions as workflow
Code Also — related condition(1 note)
Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.
See the official tabular notes · Guidelines I.A.17
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
The history Z code categories are: Z80 Family history of primary malignant neoplasm Z81 Family history of mental and behavioral disorders Z82 Family history of certain disabilities and chronic diseases (leading to disablement) Z83 Family history of other specific disorders Z84 Family history of other conditions Z85 Personal history of malignant neoplasm Z86 Personal history of certain other diseases Z87 Personal history of other diseases and conditions Z91.4- Personal history of psychological trauma, not elsewhere classified Z91.5- Personal history of self- harm Z91.81 History of falling Z91.82 Personal history of military deployment Z91.85 Personal history of military service Z92 Personal history of medical treatment Except: Z92.0, Personal history of contraception Except: Z92.82, Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to a current facility
Verify Before Coding
- Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name Z84.11 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Use Additional Code instruction: Z15 — Genetic susceptibility to disease (via Z84.-).
These codes instruct coders to additionally report this code when it applies.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 1 MS-DRG: DRG 951 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):FAC028 — Family history of disease (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Principal diagnosis restriction (Medicare Code Editor)
Not acceptable as a principal diagnosis on an inpatient claim.
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Family history of disease).
Z83.511 — Family history of glaucoma, Z83.518 — Family history of other specified eye disorder, Z83.52 — Family history of ear disorders, Z83.6 — Family history of other diseases of the respiratory system, Z83.71 — Family history of colonic polyps, Z83.710 — Family history of adenomatous and serrated polyps, Z83.711 — Family history of hyperplastic colon polyps, Z83.718 — Family history of other colon polyps, Z83.719 — Family history of colon polyps, unspecified, Z83.72 — Family history of familial adenomatous polyposis, Z83.79 — Family history of other diseases of the digestive system, Z84.0 — Family history of diseases of the skin and subcutaneous tissue, Z84.1 — Family history of disorders of kidney and ureter, Z84.19 — Family history of other disorders of kidney and ureter, Z84.2 — Family history of other diseases of the genitourinary system, Z84.3 — Family history of consanguinity, Z84.81 — Family history of carrier of genetic disease, Z84.82 — Family history of sudden infant death syndrome, Z84.89 — Family history of other specified conditions, Z84.A — Family history of exposure to diethylstilbestrol, +44 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “History”; these codes share that main term but sit in a different category of the Tabular List.
Z83.511 — Family history of glaucoma (family, glaucoma), Z83.518 — Family history of other specified eye disorder (family, disease or disorder, eye NEC), Z83.52 — Family history of ear disorders (family, disease or disorder, ear NEC), Z83.6 — Family history of other diseases of the respiratory system (family, respiratory condition NEC), Z83.710 — Family history of adenomatous and serrated polyps (family, colonic polyps, villous adenoma), Z83.711 — Family history of hyperplastic colon polyps (family, colonic polyps, hyperplastic), Z83.718 — Family history of other colon polyps (family, colonic polyps, inflammatory), Z83.719 — Family history of colon polyps, unspecified (family, polyps), Z83.72 — Family history of familial adenomatous polyposis (family, adenomatous polyposis), Z83.79 — Family history of other diseases of the digestive system (family, disease or disorder, digestive), Z85.00 — Personal history of malignant neoplasm of unspecified digestive organ (personal, malignant neoplasm, digestive organ), Z85.01 — Personal history of malignant neoplasm of esophagus (personal, malignant neoplasm, esophagus), Z85.020 — Personal history of malignant carcinoid tumor of stomach (personal, malignant neoplasm, stomach NEC, carcinoid), Z85.028 — Personal history of other malignant neoplasm of stomach (personal, malignant neoplasm, stomach NEC), Z85.030 — Personal history of malignant carcinoid tumor of large intestine (personal, malignant neoplasm, colon NEC, carcinoid), Z85.038 — Personal history of other malignant neoplasm of large intestine (personal, malignant neoplasm, colon NEC), Z85.040 — Personal history of malignant carcinoid tumor of rectum (personal, malignant neoplasm, anus NEC, carcinoid), Z85.048 — Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus (personal, malignant neoplasm, anus NEC), Z85.05 — Personal history of malignant neoplasm of liver (personal, malignant neoplasm, liver), Z85.060 — Personal history of malignant carcinoid tumor of small intestine (personal, malignant neoplasm, small intestine NEC, carcinoid), +258 more
Contextual Map
Every relationship of Z84.11 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run Z84.11 with this related code in Claim Check
Hierarchy
- Z00-Z99 — Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) (Z00-Z99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Use Additional Code instructions
- Z15 — Genetic susceptibility to disease[Use Additional Code](via Z84.-): “code, if applicable, for any associated family history of the disease (Z80-Z84)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- FAC028 — Family history of disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS[MS-DRG]: “OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,258 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- History, family (of), disease or disorder (of), kidney, APOL1-mediated (AMKD)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (11)
- Z84 — Family history of other conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.0 — Family history of diseases of the skin and subcutaneous tissue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.1 — Family history of disorders of kidney and ureter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.19 — Family history of other disorders of kidney and ureter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.2 — Family history of other diseases of the genitourinary system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.3 — Family history of consanguinity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.8 — Family history of other specified conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- Z84.81 — Family history of carrier of genetic disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 3 more
Change history
- FY2026 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2026
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "Z84.11 — Family history of APOL1-mediated kidney disease [AMKD]." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/z84.11-family-history-of-apol1-mediated-kidney-disease-amkd
Change history
- FY2026 — October 1, 2025Added to the code setFamily history of APOL1-mediated kidney disease [AMKD]FY2026 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z84.11 in its code family, with their registry titles.
- Z84 — Family history of other conditions
- Z84.0 — Family history of diseases of the skin and subcutaneous tissue
- Z84.1 — Family history of disorders of kidney and ureter
- Z84.19 — Family history of other disorders of kidney and ureter
- Z84.2 — Family history of other diseases of the genitourinary system
- Z84.3 — Family history of consanguinity
- Z84.8 — Family history of other specified conditions
- Z84.81 — Family history of carrier of genetic disease
- Z84.82 — Family history of sudden infant death syndrome
- Z84.89 — Family history of other specified conditions