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Z92.858 ICD-10-CM Code: Personal history of other cellular therapy

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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)

Z92.858

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Personal history of other cellular therapy

A patient has previously received other types of cellular therapy, which are treatments using living cells to treat disease.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z92.8Personal history of other medical treatment
Z92.85Personal history of cellular therapy
Z92.858Personal history of other cellular therapy

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z92.858 in this effective period.

Excludes 2

Official
  • personal history of immune checkpoint inhibitor therapy (Z92.26)

Related Child Codes

Official
Z92.850Personal history of Chimeric Antigen Receptor T-cell therapy
Z92.859Personal history of cellular therapy, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for Z92.858 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z92.858 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z92.858 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z92.858 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z92.858 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Specify the type of cellular therapy in documentation (stem cells, T-cells, etc.) for complete medical history
Use when cellular therapies don't fit other specific Z92.85x codes

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is Z92.858 an HCC code?

No. Z92.858 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z92.858 is the ICD-10-CM diagnosis code for personal history of other cellular therapy. A patient has previously received other types of cellular therapy, which are treatments using living cells to treat disease. Z92.858 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).

Z92.858 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Specify the type of cellular therapy in documentation (stem cells, T-cells, etc.) for complete medical history.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z92.858 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Specify the type of cellular therapy in documentation (stem cells, T-cells, etc.) for complete medical history
  • Use when cellular therapies don't fit other specific Z92.85x codes

Child Codes

Code Hierarchy

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