Z79.3 vs Z92.0
Z79.3 and Z92.0 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on Z92.0
long term (current) use of contraception (Z79.3)
Z79.3
Long term (current) use of hormonal contraceptives
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Use when the record says
- Long term (current) use of birth control pill or patch
Indexed under
- Long-term › birth control pill or patch (current) (prophylactic) drug therapy (use of)
- Long-term › contraceptive, oral (current) (prophylactic) drug therapy (use of)
- Long-term › oral › contraceptive (current) (prophylactic) drug therapy (use of)
- Therapy › drug, long-term › birth control pill or patch
- Therapy › drug, long-term › contraceptive, oral
Z92.0
Personal history of contraception
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Indexed under
- History › personal › contraception
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027