Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Rules Conventions GCS

Persons with potential health hazards related to family and personal history and certain conditions influencing health status
(Z80-Z99)

Excl.:
follow-up examination ( Z08-Z09)
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
when family or personal history is the reason for special screening or other examination or investigation ( Z00-Z13)
when the possibility that the fetus might be affected is the reason for observation or action during pregnancy ( O35.-)

Z80 Family history of malignant neoplasm
DCS.XXI.6 DCS.XXI.21

Z80.0 Family history of malignant neoplasm of digestive organs
Incl.:
Conditions classifiable to C15-C26
Z80.1 Family history of malignant neoplasm of trachea, bronchus and lung
Incl.:
Conditions classifiable to C33-C34
Z80.2 Family history of malignant neoplasm of other respiratory and intrathoracic organs
Incl.:
Conditions classifiable to C30-C32, C37-C39
Z80.3 Family history of malignant neoplasm of breast
Incl.:
Conditions classifiable to C50.-
Z80.4 Family history of malignant neoplasm of genital organs
Incl.:
Conditions classifiable to C51-C63
Z80.5 Family history of malignant neoplasm of urinary tract
Incl.:
Conditions classifiable to C64-C68
Z80.6 Family history of leukaemia
Incl.:
Conditions classifiable to C91-C95
Z80.7 Family history of other malignant neoplasms of lymphoid, haematopoietic and related tissues
Incl.:
Conditions classifiable to C81-C90, C96.-
Z80.8 Family history of malignant neoplasm of other organs or systems
Incl.:
Conditions classifiable to C00-C14, C40-C49, C69-C79, C97
Z80.9 Family history of malignant neoplasm, unspecified
Incl.:
Conditions classifiable to C80.-

Z81 Family history of mental and behavioural disorders
DCS.XXI.6 DCS.XXI.21

Z81.0 Family history of mental retardation
Incl.:
Conditions classifiable to F70-F79
Z81.1 Family history of alcohol abuse
Incl.:
Conditions classifiable to F10.-
Z81.2 Family history of tobacco abuse
Incl.:
Conditions classifiable to F17.-
Z81.3 Family history of other psychoactive substance abuse
Incl.:
Conditions classifiable to F11-F16, F18-F19
Z81.4 Family history of other substance abuse
Incl.:
Conditions classifiable to F55
Z81.8 Family history of other mental and behavioural disorders
Incl.:
Conditions classifiable elsewhere in F00-F99

Z82 Family history of certain disabilities and chronic diseases leading to disablement
DCS.XXI.6 DCS.XXI.21

Z82.0 Family history of epilepsy and other diseases of the nervous system
Incl.:
Conditions classifiable to G00-G99
Z82.1 Family history of blindness and visual loss
Incl.:
Conditions classifiable to H54.-
Z82.2 Family history of deafness and hearing loss
Incl.:
Conditions classifiable to H90-H91
Z82.3 Family history of stroke
Incl.:
Conditions classifiable to I60-I64
Z82.4 Family history of ischaemic heart disease and other diseases of the circulatory system
Incl.:
Conditions classifiable to I00-I52, I65-I99
Z82.5 Family history of asthma and other chronic lower respiratory diseases
Incl.:
Conditions classifiable to J40-J47
Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
Incl.:
Conditions classifiable to M00-M99
Z82.7 Family history of congenital malformations, deformations and chromosomal abnormalities
Incl.:
Conditions classifiable to Q00-Q99
Z82.8 Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified

Z83 Family history of other specific disorders
DCS.XXI.6 DCS.XXI.21

Excl.:
contact with or exposure to communicable disease in the family ( Z20.-)
Z83.0 Family history of human immunodeficiency virus [HIV] disease
Incl.:
Conditions classifiable to B20-B24, O98.7
Z83.1 Family history of other infectious and parasitic diseases
Incl.:
Conditions classifiable to A00-B19, B25-B94, B99
Z83.2 Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Incl.:
Conditions classifiable to D50-D89
Z83.3 Family history of diabetes mellitus
Incl.:
Conditions classifiable to E10-E14, O24
Z83.4 Family history of other endocrine, nutritional and metabolic diseases
Incl.:
Conditions classifiable to E00-E07, E15-E90
Z83.5 Family history of eye and ear disorders
Incl.:
Conditions classifiable to H00-H53, H55-H83, H92-H95
Excl.:
family history of:
  • blindness and visual loss (Z82.1)
  • deafness and hearing loss (Z82.2)
Z83.6 Family history of diseases of the respiratory system
Incl.:
Conditions classifiable to J00-J39, J60-J99
Excl.:
family history of chronic lower respiratory diseases ( Z82.5)
Z83.7 Family history of diseases of the digestive system
Incl.:
Conditions classifiable to K00-K93

Z84 Family history of other conditions
DCS.XXI.6 DCS.XXI.21

Z84.0 Family history of diseases of the skin and subcutaneous tissue
Incl.:
Conditions classifiable to L00-L99
Z84.1 Family history of disorders of kidney and ureter
Incl.:
Conditions classifiable to N00-N29
Z84.2 Family history of other diseases of the genitourinary system
Incl.:
Conditions classifiable to N30-N99
Z84.3 Family history of consanguinity
Z84.8 Family history of other specified conditions

Z85 Personal history of malignant neoplasm
DCS.II.1 DCS.XXI.6 DCS.XXI.21

Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
follow-up examination after treatment of malignant neoplasm ( Z08.-)
Z85.0 Personal history of malignant neoplasm of digestive organs
Incl.:
Conditions classifiable to C15-C26
Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung
Incl.:
Conditions classifiable to C33-C34
Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Incl.:
Conditions classifiable to C30-C32, C37-C39
Z85.3 Personal history of malignant neoplasm of breast
Incl.:
Conditions classifiable to C50.-
Z85.4 Personal history of malignant neoplasm of genital organs
Incl.:
Conditions classifiable to C51-C63
Z85.5 Personal history of malignant neoplasm of urinary tract
Incl.:
Conditions classifiable to C64-C68
Z85.6 Personal history of leukaemia
DCS.II.8
Incl.:
Conditions classifiable to C91-C95
Z85.7 Personal history of other malignant neoplasms of lymphoid, haematopoietic and related tissues
DCS.II.8
Incl.:
Conditions classifiable to C81-C90, C96.-
Z85.8 Personal history of malignant neoplasms of other organs and systems
Incl.:
Conditions classifiable to C00-C14, C40-C49, C69-C79, C97
Z85.9 Personal history of malignant neoplasm, unspecified
Incl.:
Conditions classifiable to C80.-

Z86 Personal history of certain other diseases
DCS.XXI.6 DCS.XXI.21

Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
Z86.0 Personal history of other neoplasms
Incl.:
Conditions classifiable to D00-D48
Excl.:
malignant neoplasms ( Z85.-)
Z86.1 Personal history of infectious and parasitic diseases
Incl.:
Conditions classifiable to A00-B89, B99
Excl.:
sequelae of infectious and parasitic diseases ( B90-B94)
Z86.2 Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Incl.:
Conditions classifiable to D50-D89
Z86.3 Personal history of endocrine, nutritional and metabolic diseases
Incl.:
Conditions classifiable to E00-E90
Z86.4 Personal history of psychoactive substance abuse
DCS.XI.8
Incl.:
Conditions classifiable to F10-F19
Excl.:
current dependence ( F10-F19 with common fourth character .2)
problems related to use of:
Z86.5 Personal history of other mental and behavioural disorders
Incl.:
Conditions classifiable to F00-F09, F20-F99
Z86.6 Personal history of diseases of the nervous system and sense organs
Incl.:
Conditions classifiable to G00-G99, H00-H95
Z86.7 Personal history of diseases of the circulatory system
Incl.:
Conditions classifiable to I00-I99
Excl.:
old myocardial infarction ( I25.2)
postmyocardial infarction syndrome ( I24.1)
sequelae of cerebrovascular disease ( I69.-)

Z87 Personal history of other diseases and conditions
DCS.XXI.6 DCS.XXI.21

Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
Z87.0 Personal history of diseases of the respiratory system
Incl.:
Conditions classifiable to J00-J99
Z87.1 Personal history of diseases of the digestive system
Incl.:
Conditions classifiable to K00-K93
Z87.2 Personal history of diseases of the skin and subcutaneous tissue
Incl.:
Conditions classifiable to L00-L99
Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue
Incl.:
Conditions classifiable to M00-M99
Z87.4 Personal history of diseases of the genitourinary system
Incl.:
Conditions classifiable to N00-N99
Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium
Incl.:
Conditions classifiable to O00-O99
Personal history of trophoblastic disease
Excl.:
habitual aborter ( N96)
supervision during current pregnancy of a woman with poor obstetric history ( Z35.-)
Z87.6 Personal history of certain conditions arising in the perinatal period
Incl.:
Conditions classifiable to P00-P96
Z87.7 Personal history of congenital malformations, deformations and chromosomal abnormalities
Incl.:
Conditions classifiable to Q00-Q99
Z87.8 Personal history of other specified conditions
Incl.:
Conditions classifiable to S00-T98
Excl.:
personal history of self harm ( Z91.5)

Z88 Personal history of allergy to drugs, medicaments and biological substances
DCS.XXI.21

Z88.0 Personal history of allergy to penicillin
Z88.1 Personal history of allergy to other antibiotic agents
Z88.2 Personal history of allergy to sulfonamides
Z88.3 Personal history of allergy to other anti-infective agents
Z88.4 Personal history of allergy to anaesthetic agent
Z88.5 Personal history of allergy to narcotic agent
Z88.6 Personal history of allergy to analgesic agent
Z88.7 Personal history of allergy to serum and vaccine
Z88.8 Personal history of allergy to other drugs, medicaments and biological substances
Z88.9 Personal history of allergy to unspecified drugs, medicaments and biological substances

Z89 Acquired absence of limb
DCS.XXI.21

Incl.:
loss of limb:
  • postoperative
  • post-traumatic
Excl.:
acquired deformities of limbs ( M20-M21)
congenital absence of limbs ( Q71-Q73)
Z89.0 Acquired absence of finger(s) [including thumb], unilateral
Z89.1 Acquired absence of hand and wrist
Z89.2 Acquired absence of upper limb above wrist
Incl.:
Arm NOS
Z89.3 Acquired absence of both upper limbs [any level]
Incl.:
Acquired absence of finger(s), bilateral
Z89.4 Acquired absence of foot and ankle
Incl.:
Toe(s)
Z89.5 Acquired absence of leg at or below knee
Z89.6 Acquired absence of leg above knee
Incl.:
Leg NOS
Z89.7 Acquired absence of both lower limbs [any level, except toes alone]
Z89.8 Acquired absence of upper and lower limbs [any level]
Z89.9 Acquired absence of limb, unspecified

Z90 Acquired absence of organs, not elsewhere classified
DCS.XXI.21

Incl.:
postoperative or post-traumatic loss of body part NEC
Excl.:
congenital absence - see Alphabetical Index
postoperative absence of:
Z90.0 Acquired absence of part of head and neck
Incl.:
Eye
Larynx
Nose
Excl.:
teeth ( K08.1)
Z90.1 Acquired absence of breast(s)
Z90.2 Acquired absence of lung [part of]
Z90.3 Acquired absence of part of stomach
Z90.4 Acquired absence of other parts of digestive tract
Z90.5 Acquired absence of kidney
Z90.6 Acquired absence of other organs of urinary tract
Z90.7 Acquired absence of genital organ(s)
Z90.8 Acquired absence of other organs

Z91 Personal history of risk-factors, not elsewhere classified
DCS.XXI.21

Excl.:
exposure to pollution and other problems related to physical environment ( Z58.-)
occupational exposure to risk-factors ( Z57.-)
personal history of psychoactive substance abuse ( Z86.4)
Z91.0 Personal history of allergy, other than to drugs and biological substances
Excl.:
personal history of allergy to drugs and biological substances ( Z88.-)
Z91.1 Personal history of noncompliance with medical treatment and regimen
Z91.2 Personal history of poor personal hygiene
Z91.3 Personal history of unhealthy sleep-wake schedule
Excl.:
sleep disorders ( G47.-)
Z91.4 Personal history of psychological trauma, not elsewhere classified
Z91.5 Personal history of self-harm
Incl.:
Parasuicide
Self-poisoning
Suicide attempt
Z91.6 Personal history of other physical trauma
Z91.7 Personal history of female genital mutilation
DCS.XIV.11
Incl.:
Female circumcision
Female genital cutting
FGM types 1-4
Z91.8 Personal history of other specified risk-factors, not elsewhere classified
Incl.:
Abuse NOS
Maltreatment NOS

Z92 Personal history of medical treatment
DCS.XXI.21

Z92.0 Personal history of contraception
Excl.:
counselling or management of current contraceptive practices ( Z30.-)
presence of (intrauterine) contraceptive device ( Z97.5)
Z92.1 Personal history of long-term (current) use of anticoagulants
DCS.XVIII.12
Z92.2 Personal history of long-term (current) use of other medicaments
Incl.:
Aspirin
Z92.3 Personal history of irradiation
Incl.:
Therapeutic radiation
Excl.:
exposure to radiation in the physical environment ( Z58.4)
occupational exposure to radiation ( Z57.1)
Z92.4 Personal history of major surgery, not elsewhere classified
Excl.:
artificial opening status ( Z93.-)
postsurgical states ( Z98.-)
presence of functional implants and grafts ( Z95-Z96)
transplanted organ or tissue status ( Z94.-)
Z92.5 Personal history of rehabilitation measures
Z92.6 Personal history of chemotherapy for neoplastic disease
Z92.8 Personal history of other medical treatment
Z92.9 Personal history of medical treatment, unspecified

Z93 Artificial opening status
DCS.XI.5 DCS.XXI.21

Excl.:
artificial openings requiring attention or management ( Z43.-)
complications of external stoma ( J95.0, K91.4, N99.5)
Z93.0 Tracheostomy status
Z93.1 Gastrostomy status
Z93.2 Ileostomy status
Z93.3 Colostomy status
Z93.4 Other artificial openings of gastrointestinal tract status
Z93.5 Cystostomy status
Z93.6 Other artificial openings of urinary tract status
Incl.:
Nephrostomy
Ureterostomy
Urethrostomy
Z93.8 Other artificial opening status
Z93.9 Artificial opening status, unspecified

Z94 Transplanted organ and tissue status
DCS.XXI.21

Incl.:
organ or tissue replaced by heterogenous or homogenous transplant
Excl.:
complications of transplanted organ or tissue - see Alphabetical Index
presence of:
  • vascular graft (Z95.-)
  • xenogenic heart valve (Z95.3)
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Excl.:
heart-valve replacement status ( Z95.2-Z95.4)
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z94.4 Liver transplant status
Z94.5 Skin transplant status
Incl.:
Autogenous skin transplant status
Z94.6 Bone transplant status
Z94.7 Corneal transplant status
Z94.8 Other transplanted organ and tissue status
Incl.:
Bone marrow
Intestine
Pancreas
Stem cells
Z94.9 Transplanted organ and tissue status, unspecified

Z95 Presence of cardiac and vascular implants and grafts
DCS.XXI.21

Excl.:
complications of cardiac and vascular devices, implants and grafts ( T82.-)
Z95.0 Presence of electronic cardiac devices
Incl.:
Presence of:
  • cardiac pacemaker
  • cardiac resynchronization therapy defibrillator (CRT-D)
  • cardiac resynchronization therapy (CRT) pacemaker
  • cardioverter-defibrillator (ICD)
Excl.:
adjustment or management of cardiac devices ( Z45.0)
dependence on artificial heart ( Z99.4)
Z95.1 Presence of aortocoronary bypass graft
Z95.2 Presence of prosthetic heart valve
Z95.3 Presence of xenogenic heart valve
Z95.4 Presence of other heart-valve replacement
Z95.5 Presence of coronary angioplasty implant and graft
Incl.:
Presence of coronary artery prosthesis
Status following coronary angioplasty NOS
Z95.8 Presence of other cardiac and vascular implants and grafts
Incl.:
Presence of intravascular prosthesis NEC
Status following peripheral angioplasty NOS
Z95.9 Presence of cardiac and vascular implant and graft, unspecified

Z96 Presence of other functional implants
DCS.XXI.21

Excl.:
complications of internal prosthetic devices, implants and grafts ( T82-T85)
fitting and adjustment of prosthetic and other devices ( Z44-Z46)
Z96.0 Presence of urogenital implants
Z96.1 Presence of intraocular lens
Incl.:
Pseudophakia
Z96.2 Presence of otological and audiological implants
Incl.:
Bone-conduction hearing device
Cochlear implant
Eustachian tube stent
Myringotomy tube(s)
Stapes replacement
Z96.3 Presence of artificial larynx
Z96.4 Presence of endocrine implants
Incl.:
Insulin pump
Z96.5 Presence of tooth-root and mandibular implants
Z96.6 Presence of orthopaedic joint implants
Incl.:
Finger-joint replacement
Hip-joint replacement (partial)(total)
Z96.7 Presence of other bone and tendon implants
Incl.:
Skull plate
Z96.8 Presence of other specified functional implants
Z96.9 Presence of functional implant, unspecified

Z97 Presence of other devices
DCS.XXI.21

Excl.:
complications of internal prosthetic devices, implants and grafts ( T82-T85)
fitting and adjustment of prosthetic and other devices ( Z44-Z46)
presence of cerebrospinal fluid drainage device ( Z98.2)
Z97.0 Presence of artificial eye
Z97.1 Presence of artificial limb (complete)(partial)
Z97.2 Presence of dental prosthetic device (complete)(partial)
Z97.3 Presence of spectacles and contact lenses
Z97.4 Presence of external hearing-aid
Z97.5 Presence of (intrauterine) contraceptive device
Excl.:
checking, reinsertion or removal of contraceptive device ( Z30.5)
insertion of contraceptive device ( Z30.1)
Z97.8 Presence of other specified devices

Z98 Other postsurgical states
DCS.XXI.21

Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
postprocedural or postoperative complication - see Alphabetical Index
Z98.0 Intestinal bypass and anastomosis status
Z98.1 Arthrodesis status
Z98.2 Presence of cerebrospinal fluid drainage device
Incl.:
CSF shunt
Z98.8 Other specified postsurgical states

Z99 Dependence on enabling machines and devices, not elsewhere classified
DCS.XXI.21

Z99.0 Dependence on aspirator
Z99.1 Dependence on respirator
Incl.:
Dependence on ventilator
Z99.2 Dependence on renal dialysis
DCS.XXI.8
Incl.:
Presence of arteriovenous shunt for dialysis
Renal dialysis status
Excl.:
dialysis preparation, treatment or session ( Z49.-)
Z99.3 Dependence on wheelchair
Z99.4 Dependence on artificial heart
Z99.8 Dependence on other enabling machines and devices
Z99.9 Dependence on unspecified enabling machine and device