ICDcodes.org
FY2027

Z79.811Long term (current) use of aromatase inhibitors

Billable

Is Z79.811 billable?

Yes — Z79.811 is billable for FY2027. Z79.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z79.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z79.811 at a glance

CodeZ79.811
DescriptionLong term (current) use of aromatase inhibitors
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z79.811?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z79.811 directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does Z79.811 group to?

Z79.811 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z79.811 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z79.811. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Long-termanastrozole (current) (prophylactic) drug therapy (use of)
  • Long-termaromatase inhibitors (current) (prophylactic) drug therapy (use of)
  • Long-termexemestane (current) (prophylactic) drug therapy (use of)
  • Long-termletrozole (current) (prophylactic) drug therapy (use of)
  • Therapydrug, long-termanastrozole
  • Therapydrug, long-termaromatase inhibitors
  • Therapydrug, long-termexemestane
  • Therapydrug, long-termletrozole

Inclusion terms

Alternative wording in documentation that is classified to Z79.811.

  • Long term (current) use of anastrozole (Arimidex)
  • Long term (current) use of exemestane (Aromasin)
  • Long term (current) use of letrozole (Femara)

Excludes1 — never code together — inherited from Z79.81

The conditions below can never be reported together with Z79.811 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • hormone replacement therapy (Z79.890)

Code first — inherited from Z79.81

The underlying condition below must be sequenced before Z79.811. Z79.811 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • , if applicable:
  • malignant neoplasm of breast (C50.-)
  • malignant neoplasm of prostate (C61)

Use additional code — inherited from Z79.81

Report an additional code alongside Z79.811 to fully describe the condition. Z79.811 is sequenced first.

  • code, if applicable, to identify:
  • estrogen receptor positive status (Z17.0)
  • family history of breast cancer (Z80.3)
  • genetic susceptibility to malignant neoplasm (cancer) (Z15.0-)
  • personal history of breast cancer (Z85.3)
  • personal history of prostate cancer (Z85.46)
  • postmenopausal status (Z78.0)

Excludes2 — not included here — inherited from Z79

The conditions below are not part of Z79.811, but a patient may have both at the same time. When documentation supports it, Z79.811 and the excluded code may both be reported.

  • drug abuse and dependence (F11-F19)
  • drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z79.811 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

Code also — inherited from Z79

Two codes may be needed to describe the condition fully. Whether Z79.811 is sequenced first depends on the reason for the encounter.

  • any therapeutic drug level monitoring (Z51.81)

How long has Z79.811 existed?

Z79.811 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the Z79.81 family? (2)