Z79.4
ICD-10BillableLong term (current) use of insulin
Official ICD-10-CM descriptor (FY2026)
Long term (current) use of insulin
Z79.4 is valid for submission on a claim — CMS flags it as a billable, specific code.
Plain-language explanation
A status code recording that the patient is on long-term insulin. Z-codes describe a circumstance rather than an illness, so this one is reported alongside a diagnosis code, never instead of one.
Written by Krasyn as a general orientation to the code. It is not from CMS and is not clinical or coding advice.
Excludes2
Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.
- long-term (current) use of injectable non-insulin antidiabetic drugs (Z79.85)
- long term (current) use of oral antidiabetic drugs (Z79.84)
- long term (current) use of oral hypoglycemic drugs (Z79.84)
Related codes in Z79
- Z79.0Long term (current) use of antocoag/antithrom/angiplatecategory
- Z79.1Long term (current) use of non-steroidal non-inflam (NSAID)
- Z79.2Long term (current) use of antibiotics
- Z79.3Long term (current) use of hormonal contraceptives
- Z79.5Long term (current) use of steroidscategory
- Z79.6Long term (crnt) use of immunomodulator & immunosuppressantcategory
- Z79.8Other long term (current) drug therapycategory
Where this code sits
- Parent code
- Z79
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ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.