Is Z80.42 a billable ICD-10-CM code?

Yes. Z80.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z80.42 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z80.42

Z80.42 — Family history of malignant neoplasm of prostate

Billable / specific codeICD-10-CMPOA exempt

Z80.42 is a billable, specific ICD-10-CM code for family history of malignant neoplasm of prostate. It is valid for submission on a claim.

Risk adjustment

Z80.42 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.

How Z80.42 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 Z80.42.

History›family›malignant neoplasm NOS›prostate
History›family›malignant neoplasm NOS›genital organ›prostate

Related codes at this level

Codes that share Z80.4. If Z80.42 is not quite right, the correct code is usually one of these.

Questions about Z80.42

Is Z80.42 a billable ICD-10-CM code?: Yes. Z80.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z80.42 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).