Z15.060 — Genetic susceptibility to colorectal cancer
Z15.060 is a billable, specific ICD-10-CM code for genetic susceptibility to colorectal cancer. It is valid for submission on a claim.
Risk adjustment
Z15.060 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Z15.060 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55069Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy
- A55227Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
How Z15.060 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z15.060.
- Genetic›susceptibility to disease NEC›malignant neoplasm›colorectal
Related codes at this level
Codes that share Z15.06. If Z15.060 is not quite right, the correct code is usually one of these.
Questions about Z15.060
- Is Z15.060 a billable ICD-10-CM code?
- Yes. Z15.060 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z15.060 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Genetic carrier and genetic susceptibility to disease (Z14-Z15).