Statin Intolerance ICD-10-CM Codes

What ICD-10 Codes are Used for Statin Intolerance?

Statin Intolerance refers to the inability to tolerate statin medications due to adverse effects. Accurate ICD-10-CM codes are essential for medical billing and documentation. Below are the commonly used codes for Statin Intolerance:

Z79.899 - Other long-term (current) drug therapy: This code is used when a patient is on long-term drug therapy and is experiencing intolerance to statin medications. ICD-10 code Z79.899 often indicates a patient is on chronic or long-term medication for a specific condition. Still, the code must provide information about the drug being used. This code helps document that a patient is undergoing ongoing drug therapy, which can be important information for healthcare providers to consider when assessing the patient's overall health and treatment plan.

Z91.130 - Patient's intentional underdosing of medication regimen due to adverse effects: This code is used when a patient intentionally reduces the dosage of statin medication due to adverse impacts. It is used to indicate situations where a patient intentionally reduces their prescribed medication dosage or frequency due to experiencing negative effects or side effects from the medication.

Which Statin Intolerance ICD codes are Billable?

The following ICD-10-CM codes for Statin Intolerance are billable:

Z79.899 - Yes, billable: Other long-term drug therapy, including statin intolerance, is eligible for reimbursement when accurately coded.

Z91.130 - Yes, billable: Patient's intentional underdosing of medication regimen due to adverse effects can be billed when documented accurately.

Clinical Information

• Statin intolerance refers to an inability to tolerate statin medications commonly used to lower cholesterol levels.
• Symptoms of statin intolerance may include muscle pain, weakness, fatigue, or other muscle-related symptoms.
• Some individuals may experience gastrointestinal issues, liver abnormalities, or other adverse effects.
• Statin intolerance can lead to discontinuing these critical medications for managing cholesterol.
• It's essential to differentiate between actual statin intolerance and other factors contributing to symptoms.
• Various strategies can be employed to manage statin intolerance, such as dose adjustments, switching to different statins, or utilizing non-statin alternatives.
• A healthcare provider should assess and manage statin intolerance for proper cardiovascular risk management.
• Lifestyle modifications, including a heart-healthy diet and regular exercise, remain important in cholesterol management.
• Regular communication with a healthcare professional is crucial for optimizing cholesterol management in statin-intolerant patients.

Synonyms Include

• Statin Side Effects
• Statin Medication Intolerance
• Intolerant to Cholesterol Medication