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History of falling
Z91.81 is a valid billable ICD-10 diagnosis code for History of falling.It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024.
Z91.81 is exempt from POA reporting (Present On Admission).
↓ See below for any exclusions, inclusions or special notations
Z91.81 also applies to the following:
Inclusion term(s):
- At risk for falling
MS-DRG - Medicare Severity-Diagnosis Related Group
- MDC 23 Factors Influencing Health Status & Other Contacts with Health Services
Other Factors Influencing Health Status- DRG 951 - OTHER FACTORS INFLUENCING HEALTH STATUS
Coding structure:
ICD-10 code Z91.81 is based on the following Tabular structure:
Chapter 21: Factors influencing health status and contact with health services
- Section Z77-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status
- Category Z91: Personal risk factors, not elsewhere classified
↑ Parent code:
Z91.8 for Other specified personal risk factors, not elsewhere classified
Z91.81__
Category
Etiology, Anatomic Site,
Severity, Other Vital Details
Extension
Should you use Z91.81 or Z9181 (with or without decimal point)?
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for youbut to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.
See also:
- At risk
- for
- fallingZ91.81
- for
- History
- personal (of)see also History, family (of)
- fall, fallingZ91.81
- personal (of)see also History, family (of)
- Problem (with) (related to)
- fallingZ91.81
Section Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Code alsoany follow-up examination (Z08-Z09)
Z91 Personal risk factors, not elsewhere classified
Excludes2
- contact with and (suspected) exposures hazardous to health (Z77.-)
- exposure to pollution and other problems related to physical environment (Z77.1-)
- female genital mutilation status (N90.81-)
- occupational exposure to risk factors (Z57.-)
- personal history of physical injury and trauma (Z87.81, Z87.82-)
Z91.0 Allergy status, other than to drugs and biological substances
Z91.01 Food allergy status
- Z91.010 Allergy to peanuts
- Z91.011 Allergy to milk products
- Z91.012 Allergy to eggs
- Z91.013 Allergy to seafood
Inclusion term(s):
- Allergy to shellfish
- Allergy to octopus or squid ink
- Z91.014 Allergy to mammalian meats
Inclusion term(s):
- Allergy to beef
- Allergy to lamb
- Allergy to pork
- Allergy to red meats
- Z91.018 Allergy to other foods
Inclusion term(s):
- Allergy to nuts other than peanuts
Z91.02 Food additives allergy status
Z91.03 Insect allergy status
- Z91.030 Bee allergy status
- Z91.038 Other insect allergy status
Z91.04 Nonmedicinal substance allergy status
- Z91.040 Latex allergy status
Inclusion term(s):
- Latex sensitivity status
- Z91.041 Radiographic dye allergy status
Inclusion term(s):
- Allergy status to contrast media used for diagnostic X-ray procedure
- Z91.048 Other nonmedicinal substance allergy status
- Z91.040 Latex allergy status
Z91.09 Other allergy status, other than to drugs and biological substances
Z91.1 Patient's noncompliance with medical treatment and regimen
Z91.11 Patient's noncompliance with dietary regimen
- Z91.110 Patient's noncompliance with dietary regimen due to financial hardship
- Z91.118 Patient's noncompliance with dietary regimen for other reason
Inclusion term(s):
- Inability to comply with dietary regimen
- Z91.119 Patient's noncompliance with dietary regimen due to unspecified reason
Z91.12 Patient's intentional underdosing of medication regimen
- Z91.120 Patient's intentional underdosing of medication regimen due to financial hardship
- Z91.128 Patient's intentional underdosing of medication regimen for other reason
Z91.13 Patient's unintentional underdosing of medication regimen
- Z91.130 Patient's unintentional underdosing of medication regimen due to age-related debility
- Z91.138 Patient's unintentional underdosing of medication regimen for other reason
Z91.14 Patient's other noncompliance with medication regimen
Inclusion term(s):
- Patient's underdosing of medication NOS
- Z91.141 Patient's other noncompliance with medication regimen due to financial hardship
- Z91.148 Patient's other noncompliance with medication regimen for other reason
Z91.15 Patient's noncompliance with renal dialysis
- Z91.151 Patient's noncompliance with renal dialysis due to financial hardship
- Z91.158 Patient's noncompliance with renal dialysis for other reason
Z91.19 Patient's noncompliance with other medical treatment and regimen
Inclusion term(s):
- Patient's nonadherence to medical treatment
- Z91.190 Patient's noncompliance with other medical treatment and regimen due to financial hardship
- Z91.198 Patient's noncompliance with other medical treatment and regimen for other reason
- Z91.199 Patient's noncompliance with other medical treatment and regimen due to unspecified reason
Z91.4 Personal history of psychological trauma, not elsewhere classified
Z91.41 Personal history of adult abuse
- Z91.410 Personal history of adult physical and sexual abuse
- Z91.411 Personal history of adult psychological abuse
- Z91.412 Personal history of adult neglect
- Z91.413 Personal history of adult financial abuse
- Z91.414 Personal history of adult intimate partner abuse
- Z91.419 Personal history of unspecified adult abuse
Z91.42 Personal history of forced labor or sexual exploitation
Z91.49 Other personal history of psychological trauma, not elsewhere classified
Z91.5 Personal history of self-harm
Z91.51 Personal history of suicidal behavior
Inclusion term(s):
- Personal history of parasuicide
- Personal history of self-poisoning
- Personal history of suicide attempt
Z91.52 Personal history of nonsuicidal self-harm
Inclusion term(s):
- Personal history of nonsuicidal self-injury
- Personal history of self-inflicted injury without suicidal intent
- Personal history of self-mutilation
Z91.8 Other specified personal risk factors, not elsewhere classified
Z91.81 History of falling
Inclusion term(s):
- At risk for falling
Z91.82 Personal history of military deployment
Inclusion term(s):
- Individual (civilian or military) with past history of military war, peacekeeping and humanitarian deployment (current or past conflict)
- Returned from military deployment
Z91.83 Wandering in diseases classified elsewhere
Z91.84 Oral health risk factors
- Z91.841 Risk for dental caries, low
- Z91.842 Risk for dental caries, moderate
- Z91.843 Risk for dental caries, high
- Z91.849 Unspecified risk for dental caries
Z91.85 Personal history of military service
Inclusion term(s):
- personal history of serving in the armed forces
- personal history of veteran
Z91.89 Other specified personal risk factors, not elsewhere classified
Inclusion term(s):
- Increased risk for social isolation
Z91.A Caregiver's noncompliance with patient's medical treatment and regimen
Z91.A1 Caregiver's noncompliance with patient's dietary regimen
Inclusion term(s):
- Caregiver's inability to comply with patient's dietary regimen
- Z91.A10 Caregiver's noncompliance with patient's dietary regimen due to financial hardship
- Z91.A18 Caregiver's noncompliance with patient's dietary regimen for other reason
Z91.A2 Caregiver's intentional underdosing of patient's medication regimen
- Z91.A20 Caregiver's intentional underdosing of patient's medication regimen due to financial hardship
- Z91.A28 Caregiver's intentional underdosing of medication regimen for other reason
Z91.A3 Caregiver's unintentional underdosing of patient's medication regimen
Z91.A4 Caregiver's other noncompliance with patient's medication regimen
Inclusion term(s):
- Caregiver's underdosing of patient's medication NOS
- Caregiver's underdosing with patient's medication NOS
- Z91.A41 Caregiver's other noncompliance with patient's medication regimen due to financial hardship
- Z91.A48 Caregiver's other noncompliance with patient's medication regimen for other reason
Z91.A5 Caregiver's noncompliance with patient's renal dialysis
- Z91.A51 Caregiver's noncompliance with patient's renal dialysis due to financial hardship
- Z91.A58 Caregiver's noncompliance with patient's renal dialysis for other reason
Z91.A9 Caregiver's noncompliance with patient's other medical treatment and regimen
Inclusion term(s):
- Caregiver's nonadherence to patient's medical treatment
- Z91.A91 Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship
- Z91.A98 Caregiver's noncompliance with patient's other medical treatment and regimen for other reason
Abbreviations used here:
NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.
This note further define, or give examples of, the content of the code or category.
List of terms is included under some codes. These terms are the conditions for which that code is to be used.The terms may be synonyms of the code title, or, in the case of “other specified” codes, the terms are a list of the various conditions assigned to that code.The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same timeas the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 Excludes note represents 'Not included here'. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded frombut a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.The sequencing depends on the circ*mstances of the encounter.
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
