Statin Intolerance ICD-10-CM Codes

Statin Intolerance ICD-10-CM Codes

Discover the ICD-10-CM codes for Statin Intolerance. In this thorough reference, you will find thorough information about the ICD Codes for Statin Intolerance.

By Karina Jimenea on Aug 8, 2025.

Fact Checked by Ericka Pingol.

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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
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Commonly asked questions

Common symptoms include muscle pain, weakness, fatigue, gastrointestinal discomfort, and liver enzyme abnormalities.

If a patient experiences statin intolerance, healthcare providers can explore alternative medications, adjust dosage, or recommend lifestyle changes to manage cholesterol levels.

Statin intolerance occurs in a subset of patients and can vary in severity. It's essential to communicate any adverse effects to a healthcare provider before making changes to medication.

Related ICDs

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