Z79.84

Long term (current) use of oral hypoglycemic drugs

Z79.84 is a clinical status code used to denote that a patient is currently receiving long-term maintenance therapy with oral hypoglycemic medications. These drugs, including metformin, sulfonylureas, thiazolidinediones, and others, are primarily used to manage blood glucose levels in patients with Type 2 Diabetes Mellitus or other insulin-resistant conditions. The code serves as supplementary information to identify the patient's ongoing pharmacological management and is used alongside the primary diagnosis of the condition being treated. It is not used for short-term treatments or for patients whose diabetes is managed solely by diet or insulin.

Clinical Symptoms

  • Hyperglycemia
  • Polyuria (excessive urination)
  • Polydipsia (excessive thirst)
  • Blurred vision
  • Fatigue
  • Slow wound healing
  • Recurrent infections

Common Causes

  • Type 2 Diabetes Mellitus
  • Insulin resistance
  • Polycystic Ovary Syndrome (PCOS)
  • Metabolic syndrome
  • Prediabetes requiring medication

Documentation & Coding Tips

Sequence the underlying condition treated with the oral hypoglycemic drug first.

Example: E11.9 (Type 2 diabetes mellitus without complications) followed by Z79.84.

Assign both Z79.84 and Z79.4 if the patient is on both oral hypoglycemics and insulin.

Example: A patient on Metformin and Lantus should be coded with E11.9, Z79.84, and Z79.4.

Do not use Z79.84 for injectable non-insulin antidiabetic drugs; use Z79.899 instead.

Example: A patient only on Ozempic (injectable) would not receive Z79.84.