New code ยท FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
Z91.0112
- Z91CategoryPersonal risk factors, not elsewhere classified
- 0Character 4Allergy status, other than to drugs and biological substances
- 1Character 5Food allergy status
- 1Character 6Allergy to milk products
- 2Character 7Allergy to milk products with reactivity to baked milk
Coding notes
Excludes1
- Allergy to milk products with tolerance to baked milk (Z91.0111)
Excludes1 (from Z91.011)
- lactose intolerance (E73.-)
Excludes2 (from Z91.01)
- food additives allergy status (Z91.02)
Excludes2 (from Z91.0)
- Allergy status to drugs, medicaments, and biological substances (Z88.-)
Medicare coverage
Z91.0112 is listed as a covered diagnosis in 8 Medicare billing and coding articles:
- A56558 Billing and Coding: Allergy Testing
- A57043 Billing and Coding: RAST Type Tests
- A57531 Billing and Coding: Allergy Testing
- A60361 Billing and Coding: Allergy Diagnostic Testing
- A60364 Billing and Coding: Allergy Diagnostic Testing
- A60375 Billing and Coding: Allergy Diagnostic Testing
- A60377 Billing and Coding: Allergy Diagnostic Testing
- A60391 Billing and Coding: Allergy Diagnostic Testing
Check this code
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.