ICD-10-CM Diagnosis Code Z72.89 - Other problems related to lifestyle (original) (raw)

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ICD List 2025-2026 Edition

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  6. 2026 ICD-10-CM Code Z72.89

ICD-10-CM Code:

Z72.89

ICD-10 Code for:

Other problems related to lifestyle

Is Billable?

Yes - Valid for Submission

Code Navigator:

Z72.89 is a billable diagnosis code used to specify a medical diagnosis of other problems related to lifestyle. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

  1. Code Information
  2. Approximate Synonyms
  3. Clinical Classification
  4. Clinical Information
  5. Tabular List of Diseases and Injuries
  6. Index to Diseases and Injuries References
  8. Code Edits
  9. Present on Admission (POA)
  10. Convert to ICD-9 Code
  11. Patient Education
  12. Other Codes Used Similar Conditions
  13. Code History

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

CCSR Code: FAC020

Inpatient Default: X - Not applicable.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

a question about how often a person thought about achieving a calmer, more peaceful, or healthier lifestyle.

a specific behavioral problem that occurs in persistent patterns and characteristic clusters and that causes clinically significant impairment.

bladder control scale (blcs) during the past 4 weeks, how much have bladder problems restricted your overall lifestyle?

bowel control scale (bwcs) during the past 4 weeks, how much have bowel problems restricted your overall lifestyle?

an intervention program that provides targeted health education and promotes regular physical activity, good nutrition, stress management, and healthy social habits.

a manner of living that reflects the person's values and attitudes.

major category of complementary and alternative medicine. this category deals with theories and practices designed to prevent the development of illness, identify and treat risk factors, or support of healing and recovery processes. it is concerned with integrated approaches for the prevention and management of chronic disease-in-general (dig) or the common determinants of chronic disease.

an educational intervention designed to lower the risks of early death or serious illness by addressing health behaviors that include nutrition, physical activity, sleep, stress, tobacco use, and alcohol use.

the consideration of unspecified lifestyle factors as variables in disease incident, transmission, and control.

therapy dealing with lifestyle management and includes: behavioral and dietary modifications, exercise, stress management, and addiction control. this therapy must be used as major adjunct to "standard care" or be applied as alternative treatment to conventional medicine practices.

a description of the subject's lifestyle with respect to physical activity.

a form section header about prognostic features used for tumor prognosis.

a type of lifestyle that lacks physical exercise, characterized by sitting, reading, watching television or using a computer for much of the day without vigorous physical exertion.

a question about whether a treatment plan cannot succeed if it is in conflict with a patient's lifestyle or values.

an individual who drinks from time to time, but generally less than once per week.

an individual who drinks one or more alcoholic beverages each day.

References found for this diagnosis code in the External Cause of Injuries Index:

The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Z72.89 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator: Y

Reason: Diagnosis was present at time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: N

Reason: Diagnosis was not present at time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: U

Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: W

Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: 1

Reason: Unreported/Not used - Exempt from POA reporting.

CMS Pays CC/MCC DRG? NO

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-CM: V69.8

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.