Z80.49 — Family history of malignant neoplasm of other genital organs
Z80.49 is a billable, specific ICD-10-CM code for family history of malignant neoplasm of other genital organs. It is valid for submission on a claim.
Risk adjustment
Z80.49 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
Z80.49 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.
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How Z80.49 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 Z80.49.
- History›family›malignant neoplasm NOS›genital organ
- History›family›malignant neoplasm NOS›genital organ›specified organ NEC
Related codes at this level
Codes that share Z80.4. If Z80.49 is not quite right, the correct code is usually one of these.
Questions about Z80.49
- Is Z80.49 a billable ICD-10-CM code?
- Yes. Z80.49 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z80.49 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).