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v1.0.0
ICD-10 Guide
ICD-10 CodesZ14.8

Z14.8

Genetic carrier of other disease

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z14.8 is a billable code used to indicate a diagnosis of genetic carrier of other disease.

Key Diagnostic Point:

Z14.8 is used to indicate that an individual is a genetic carrier of a disease not classified elsewhere in the ICD-10 coding system. This code is significant in preventive care as it highlights the need for genetic counseling and potential screening for at-risk family members. Social determinants of health, such as socioeconomic status, education, and access to healthcare, can influence the management of genetic conditions. Preventive measures may include genetic testing and counseling, which can help inform family planning and early interventions. Screening for related conditions may also be warranted based on the specific genetic carrier status. Aftercare may involve regular monitoring and support for the individual and their family, addressing both medical and psychosocial needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of genetic conditions that may be classified under this code
  • Need for thorough documentation of family history and genetic counseling
  • Potential for overlapping diagnoses with other Z codes
  • Variability in payer requirements for genetic testing and counseling

Audit Risk Factors

  • Inadequate documentation of genetic counseling sessions
  • Failure to document family history relevant to the genetic condition
  • Misuse of Z14.8 when a more specific genetic code is available
  • Lack of supporting evidence for the necessity of genetic testing

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include family history, results of genetic tests, and any referrals for genetic counseling.

Common Clinical Scenarios

Routine checkups where genetic carrier status is discussed, screenings for related conditions, and aftercare follow-ups.

Billing Considerations

Consideration of social determinants such as access to genetic counseling services and education about genetic risks.

Public Health

Documentation Requirements

Documentation should include population-level data on genetic conditions and surveillance of carrier status in communities.

Common Clinical Scenarios

Epidemiological studies assessing the prevalence of genetic carriers and preventive health initiatives.

Billing Considerations

Focus on health disparities and access to genetic testing in underserved populations.

Coding Guidelines

Inclusion Criteria

Use Z14.8 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 8 should be used when a patient is identified as a genetic carrier but does not have the disease itself
  • It is important to sequence this code appropriately, often as a secondary diagnosis when the primary condition is related to the genetic carrier status

Exclusion Criteria

Do NOT use Z14.8 When
No specific exclusions found.

Related CPT Codes

81200CPT Code

Genetic testing for carrier status

Clinical Scenario

Used when a patient is tested for a specific genetic condition.

Documentation Requirements

Documentation of the reason for testing and results.

Specialty Considerations

Primary care providers should ensure that patients understand the implications of testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the accuracy of health records and facilitating better patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the accuracy of health records and facilitating better patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the accuracy of health records and facilitating better patient care.

Resources

Clinical References

  • •
    Genetic Testing and Counseling Guidelines

Coding & Billing References

  • •
    Genetic Testing and Counseling Guidelines

Frequently Asked Questions

When should Z14.8 be used?

Z14.8 should be used when a patient is identified as a genetic carrier of a disease not classified elsewhere, and it is important to document the need for genetic counseling and any related preventive measures.