ICD-10 Z79.61
Billable / SpecificLong term (current) use of immunomodulator
About ICD-10-CM Z79.61
ICD-10-CM code Z79.61 represents Long term (current) use of immunomodulator. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z79). The 2026 edition of ICD-10-CM Z79.61 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z79.61. Per CMS ICD-10-CM Tabular 2026.
- Long term (current) use of apremilast
- Long term (current) use of immunomodulatory imide drug
- Long term (current) use of lenalidomide
- Long term (current) use of pomalidomide
Medicare LCD Coverage for Z79.61
Local Coverage Determinations (LCDs) from CMS MACs that list Z79.61 as a covered diagnosis.
Showing top 7. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z79.61.
2 Medicare
CPT Codes Commonly Billed with Z79.61
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z79.61
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z79.61, Billing FAQ
Is ICD-10 code Z79.61 billable? +
Yes, Z79.61 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to Z79.61? +
ICD-10 Z79.61 includes: Long term (current) use of apremilast; Long term (current) use of immunomodulatory imide drug; Long term (current) use of lenalidomide, and 1 more clinical synonyms.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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