Z85.07

Z85.07: Personal history of malignant neoplasm of pancreas

Billable / specific codeICD-10-CMPOA exempt

Z85.07 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of pancreas. It is valid for submission on a claim.

Check Z85.07 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 C25

Excludes2 inherited from the categories above Z85.07

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

Z85.07 is named in 22 Medicare coverage policies: 22 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A54338Billing and Coding: MolDX: Germline testing for use of PARP inhibitors
A54689Billing and Coding: Germline testing for use of PARP inhibitors

Alphabetic index entries that lead here

History›personal›malignant neoplasm›pancreas

Code history

Unchanged in every release from FY2024 to FY2027.