Z85.20

Z85.20: Personal history of malignant neoplasm of unspecified respiratory organ

Billable / specific codeICD-10-CMPOA exempt

Z85.20 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of unspecified respiratory organ. It is valid for submission on a claim.

Check Z85.20 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z85.20

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

Z85.20 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A58652Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
A58679Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
A58756Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

Alphabetic index entries that lead here

History›personal›malignant neoplasm›intrathoracic organ
History›personal›malignant neoplasm›respiratory organ

Code history

Unchanged in every release from FY2024 to FY2027.