Z79.634

Long term (current) use of topoisomerase inhibitor

Billable / specificPOA exempt

Z79.634 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Long term (current) use of etoposide
  • Long term (current) use of irinotecan
  • Long term (current) use of topotecan

Includes (from Z79)

  • long term (current) drug use for prophylactic purposes
  • Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Excludes2

Not included here — may be reported together when both conditions exist.

  • long term (current) use of steroids (Z79.5-) (from Z79.6)
  • long term (current) use of agents affecting estrogen receptors and estrogen levels (Z79.81-) (from Z79.6)
  • drug abuse and dependence (F11-F19) (from Z79)
  • drug use complicating pregnancy, childbirth, and the puerperium (O99.32-) (from Z79)

Code also

An additional code may be needed.

  • any follow-up examination (Z08-Z09) (from Z79)
  • any therapeutic drug level monitoring (Z51.81) (from Z79)

Also known as

  • Long term (current) use of etoposide
  • Long term (current) use of irinotecan
  • Long term (current) use of topotecan
  • Long-term, etoposide
  • Long-term, irinotecan
  • Long-term, topoisomerase inhibitor
  • Long-term, topotecan

Parent code

  • Z79.63Long term (current) use of chemotherapeutic agentHeader

Related codes

  • Z79.630Long term (current) use of alkylating agentBillable
  • Z79.631Long term (current) use of antimetabolite agentBillable
  • Z79.632Long term (current) use of antitumor antibioticBillable
  • Z79.633Long term (current) use of mitotic inhibitorBillable

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