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Home/Diagnosis/ICD-10 Coding for Statin Intolerance

ICD-10 Coding for Statin Intolerance

Z79.899
Z91.130
G72.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for statin intolerance includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Statin-associated muscle symptoms
Statin-induced myopathy
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Key Information: ICD-10 Coding for Statin Intolerance

Essential facts and insights about ICD-10 Coding for Statin Intolerance

Use ICD-10 code Z79.899 for other long term (current) drug therapy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other long term (current) drug therapy

Billable Code
Z79.899
Billable

Diagnostic Criteria

  • • Documented intolerance to at least two statins
  • • Resolution of symptoms upon discontinuation

Applicable To

  • • Long-term use of medication for chronic conditions

Important Notes

  • • Ensure documentation clearly links statin use to symptoms.

Patient's intentional underdosing of medication regimen due to side effects

Billable Code
Z91.130
Billable

Diagnostic Criteria

  • • Patient-reported dose reduction
  • • Provider acknowledgment of underdosing

Applicable To

  • • Underdosing due to adverse effects

Important Notes

  • • Document patient decision and provider discussion.

Drug-induced myopathy

Billable Code
G72.0
Billable

Diagnostic Criteria

  • • Objective evidence such as EMG or biopsy
  • • Rechallenge documentation

Applicable To

  • • Myopathy due to drugs

Important Notes

  • • Ensure objective evidence is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

M79.10

Myalgia, unspecified

Use to document muscle pain associated with statin use.

R78.2

Elevated CK

Use to document elevated CK levels associated with statin use.

Frequently Asked Questions

What is the ICD-10 code for statin intolerance?

The ICD-10 code for statin intolerance is Z79.899, used for documenting long-term drug therapy intolerance.

How do you document statin-induced myopathy?

Document statin-induced myopathy with G72.0, ensuring objective evidence like EMG or biopsy is included.

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