Z92.859 ICD-10-CM Code: Personal history of cellular therapy, unspecified
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, 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.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z92.859 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- personal history of immune checkpoint inhibitor therapy (Z92.26) Compare Z92.859 vs Z92.26 →
- postprocedural states (Z98.-) Compare Z92.859 vs Z98 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any follow-up examination (Z08-Z09)
Change history
- FY2022 — 2021-10-01Added to the code setPersonal history of cellular therapy, unspecifiedFY2022 changes
Verify Before Coding
- Billable — reportable as written.
- 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.
Contextual Map
Every relationship of Z92.859 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.
Hierarchy
- Z92.85 — Personal history of cellular therapy [Hierarchy]
Referenced by Excludes2 notes
- Z87.7 — Personal history of (corrected) congenital malformations [Excludes2](via Z92.-): “personal history of medical treatment (Z92.-)”
Clinical classification (CCSR)
- FAC030 — Personal history of other disease [CCSR]
Potential MS-DRG
- DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS [MS-DRG]: “OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)”
Index entries
- History, personal (of), cellular therapy[Index term]
Nearest codes (23)
- Z92 — Personal history of medical treatment [Sibling]
- Z92.0 — Personal history of contraception [Sibling]
- Z92.2 — Personal history of drug therapy [Sibling]
- Z92.21 — Personal history of antineoplastic chemotherapy [Sibling]
- Z92.22 — Personal history of monoclonal drug therapy [Sibling]
- Z92.23 — Personal history of estrogen therapy [Sibling]
- Z92.24 — Personal history of steroid therapy [Sibling]
- Z92.240 — Personal history of inhaled steroid therapy [Sibling]
- and 15 more
Change history
- FY2022 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):FAC030 — Personal history of other disease (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
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.
Official ICD-10-CM tabular notes on other codes that name Z92.859 or its code family.
1 Excludes2 notes: Z87.7 (via Z92.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z92.859 in its code family, with their registry titles.
- Z92.8 — Personal history of other medical treatment
- Z92.81 — Personal history of extracorporeal membrane oxygenation (ECMO)
- Z92.82 — Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
- Z92.83 — Personal history of failed moderate sedation
- Z92.84 — Personal history of unintended awareness under general anesthesia
- Z92.85 — Personal history of cellular therapy
- Z92.850 — Personal history of Chimeric Antigen Receptor T-cell therapy
- Z92.858 — Personal history of other cellular therapy
- Z92.86 — Personal history of gene therapy
- Z92.89 — Personal history of other medical treatment
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- History, personal (of), cellular therapy