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v1.0.0
ICD-10 Guide
ICD-10 CodesZ59.82

Z59.82

Transportation insecurity

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

Code Description

ICD-10 Z59.82 is a billable code used to indicate a diagnosis of transportation insecurity.

Key Diagnostic Point:

Transportation insecurity refers to the lack of reliable access to transportation, which can significantly impact an individual's ability to obtain necessary healthcare services. This social determinant of health can lead to missed appointments, delayed care, and ultimately poorer health outcomes. Factors contributing to transportation insecurity include socioeconomic status, geographic location, and availability of public transportation. Preventive care and screenings may be compromised as individuals struggle to reach healthcare facilities. Addressing transportation insecurity is crucial for improving health equity and ensuring that all individuals have access to preventive services, timely screenings, and aftercare. Healthcare providers must recognize the role of transportation in health outcomes and consider it when developing care plans and interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied definitions of transportation insecurity across different populations
  • Need for comprehensive documentation to support the use of the Z code
  • Potential overlap with other social determinants of health codes
  • Variability in payer requirements for coverage of transportation-related services

Audit Risk Factors

  • Inadequate documentation of transportation issues impacting care
  • Failure to link Z59.82 with relevant clinical conditions
  • Misuse of the code without clear evidence of transportation insecurity
  • Inconsistent application of the code across different healthcare settings

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document patient’s transportation challenges, missed appointments, and any referrals for transportation assistance.

Common Clinical Scenarios

Routine checkups where patients report difficulties in attending due to transportation issues, screenings that are missed because of lack of transport.

Billing Considerations

Consideration of social determinants and non-disease factors that may affect patient compliance and health outcomes.

Public Health

Documentation Requirements

Population-level data on transportation access, surveys assessing transportation barriers, and interventions aimed at improving access.

Common Clinical Scenarios

Epidemiological studies assessing the impact of transportation on health outcomes, community health initiatives addressing transportation barriers.

Billing Considerations

Focus on reporting and tracking health status in relation to transportation access.

Coding Guidelines

Inclusion Criteria

Use Z59.82 When
  • Z codes are used to capture social determinants of health and should be documented when they impact patient care
  • 82 should be sequenced appropriately, often as a secondary diagnosis, to reflect its role in the patient's health status
  • Payer requirements may vary, so it is essential to check specific guidelines for coverage

Exclusion Criteria

Do NOT use Z59.82 When
No specific exclusions found.

Related CPT Codes

99401CPT Code

Preventive medicine counseling and risk factor reduction intervention

Clinical Scenario

Used when addressing transportation barriers during preventive visits.

Documentation Requirements

Document discussions about transportation needs and referrals to services.

Specialty Considerations

Primary care providers should assess social determinants during routine visits.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding social determinants of health, including transportation insecurity, which can lead to improved understanding and interventions for affected populations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding social determinants of health, including transportation insecurity, which can lead to improved understanding and interventions for affected populations.

Reimbursement & Billing Impact

impact their healthcare access and outcomes.

Resources

Clinical References

  • •
    Transportation and Health: A Public Health Perspective

Coding & Billing References

  • •
    Transportation and Health: A Public Health Perspective

Frequently Asked Questions

How do I document transportation insecurity in a patient's record?

Document specific instances where transportation has impacted the patient's ability to access care, including missed appointments or delays in treatment. Include any referrals made to transportation services.