Is Z99.2 a billable ICD-10-CM code?

Yes. Z99.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z99.2 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z99.2?

Z99.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z99.2

Z99.2 — Dependence on renal dialysis

Billable / specific codeICD-10-CMPOA exempt

Z99.2 is a billable, specific ICD-10-CM code for dependence on renal dialysis. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

encounter for fitting and adjustment of dialysis catheter (Z49.0-)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

noncompliance with renal dialysis (Z91.15-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hemodialysis status
Peritoneal dialysis status
Presence of arteriovenous shunt for dialysis
Renal dialysis status NOS

Other codes that can never be billed with Z99.2

These codes carry an Excludes1 note pointing at Z99.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z99.2 alone.

I77.0Arteriovenous fistula, acquired

Risk adjustment

Z99.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z99.2 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56460Billing and Coding: Dialysis Access Maintenance
A56460Billing and Coding: Dialysis Access Maintenance
A56697Billing and Coding: Non-Invasive Vascular Studies

How Z99.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z99.2.

Dialysis›renal, status(hemodialysis) (peritoneal)
Presence›arterial-venous shunt(dialysis)
Shunt›arterial-venous(dialysis)
Status›dialysis(hemodialysis) (peritoneal)
Status›renal dialysis(hemodialysis) (peritoneal)
Dependence›on›renal dialysis(hemodialysis) (peritoneal)
Fistula›arteriovenous›surgically created(for dialysis)
Status›shunt›arteriovenous(for dialysis)

Related codes at this level

Codes that share Z99. If Z99.2 is not quite right, the correct code is usually one of these.

Questions about Z99.2

Is Z99.2 a billable ICD-10-CM code?: Yes. Z99.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z99.2 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z99.2?: Z99.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.