What is the ICD-10 code for history of drug use?

The ICD-10 code for history of drug use is Z86.59, used for resolved substance use disorders with no ongoing treatment.

How do you code opioid dependence in remission?

Opioid dependence in remission is coded as F11.21, requiring documentation of remission status and ongoing monitoring.

ICD-10 Coding for History of Drug Use(Z86.59, F11.20, F11.21)

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Learn about ICD-10 coding for history of drug use, including Z86.59 for resolved cases and F11.21 for remission. Ensure accurate documentation and compliance.

Also known as:

Substance Use HistoryPast Drug Use

Related ICD-10 Code Ranges

Complete code families applicable to History of Drug Use

Z00-Z99Primary Range

Factors influencing health status and contact with health services

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
Z86.59	Personal history of other mental and behavioral disorders	Use when documenting a resolved history of substance use with no ongoing treatment.	No treatment for substance use in the past 2 years No active medications for substance use disorder
F11.21	Opioid dependence, in remission	Use when the patient is in remission from opioid dependence and requires ongoing monitoring.	Negative urine drug screen for illicit opioids Progress notes showing at least 12 months without cravings Documented remission status
Z79.891	Long term (current) use of opiate analgesic	Use for documenting prescribed opioid use without signs of misuse.	Signed pain management contract Consistent prescription fills Absence of abuse or dependence terminology

Primary ICD-10-CM Codes

Personal history of other mental and behavioral disorders

Z86.59Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Opioid dependence, in remissionF11.21

Personal history of other mental and behavioral disordersZ86.59

Opioid use, unspecifiedF11.90

Documentation & Coding Risks

Avoid these common issues when documenting History of Drug Use.

Omitting remission status in documentation.

Impact

Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.

Mitigation

Educate providers on documentation standards., Implement EHR prompts for remission status.

Confusing 'history of' with 'in remission'.

Impact

Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in audit discrepancies., Data Quality: Affects accuracy of patient records.

Mitigation

Ensure documentation specifies whether the condition is resolved or in remission.

Misclassification of remission as resolved history

Impact

Incorrect coding can lead to audit findings.

Mitigation

Regular training on documentation and coding standards.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with Z86.59.

Primary Code

Z86.59

Personal history of other mental and behavioral disorders

Quick Navigation

ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for History of Drug Use(Z86.59, F11.20, F11.21)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for history of drug use?

How do you code opioid dependence in remission?

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