Z85.038

Z85.038: Personal history of other malignant neoplasm of large intestine

Billable / specific codeICD-10-CMPOA exempt

Z85.038 is a billable, specific ICD-10-CM code for personal history of other malignant neoplasm of large intestine. It is valid for submission on a claim.

Check Z85.038 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Conditions classifiable to C18

Excludes2 inherited from the categories above Z85.038

Not part of this code, but both may be coded when both are present.

Written on Z85: Personal history of malignant neoplasm

personal history of benign neoplasm (Z86.01-)
personal history of carcinoma-in-situ (Z86.00-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z85.038 is named in 27 Medicare coverage policies: 27 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52370Billing and Coding: Bevacizumab and biosimilars
A52479Oral Anticancer Drugs - Policy Article
A52986Billing and Coding: Biomarkers for Oncology
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy

Alphabetic index entries that lead here

History›personal›malignant neoplasm›colon NEC
History›personal›malignant neoplasm›large intestine NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z85.03

Z85.030Personal history of malignant carcinoid tumor of large intestine