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Z79.62 ICD-10-CM Code: Long term (current) use of immunosuppressant

Z79.62 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z79.62

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Long term (current) use of immunosuppressant

Long term (current) use of immunosuppressant

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z79Long term (current) drug therapy
Z79.6Long term (current) use of immunomodulators and immunosuppressants
Z79.62Long term (current) use of immunosuppressant

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z79.62 in this effective period.

Excludes 2

Official
  • long term (current) use of steroids (Z79.5-)
  • long term (current) use of agents affecting estrogen receptors and estrogen levels (Z79.81-)

Related Child Codes

Official
Z79.620Long term (current) use of immunosuppressive biologic
Z79.621Long term (current) use of calcineurin inhibitor
Z79.622Long term (current) use of Janus kinase inhibitor
Z79.623Long term (current) use of mammalian target of rapamycin (mTOR) inhibitor
Z79.624Long term (current) use of inhibitors of nucleotide synthesis

Includes

Official

ICD-10-CM does not list Includes notes for Z79.62 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z79.62 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z79.62 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z79.62 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z79.62 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
Z79.62
Description
Long term (current) use of immunosuppressant
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

Z79.62 is the ICD-10-CM diagnosis code for long term (current) use of immunosuppressant. Z79.62 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).

Header codes like Z79.62 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z79.62's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z79.62 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

Z79.62 code history

Code setChange
FY2023 (effective Oct 1, 2022)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

More on Z79.62

Related condition guides

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