Z85.3
Z85.3: Personal history of malignant neoplasm of breast
Billable / specific codeICD-10-CMPOA exempt
Z85.3 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of breast. It is valid for submission on a claim.
Check Z85.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Conditions classifiable to C50.-
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z85.3 is named in 41 Medicare coverage policies: 41 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52370Billing and Coding: Bevacizumab and biosimilars
- A52399Billing and Coding: Denosumab (Prolia®, Xgeva®, Jubbonti®) and biosimilars
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Alphabetic index entries that lead here
- History›personal›malignant neoplasm›breast
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z85
- Z85.0Personal history of malignant neoplasm of digestive organs
- Z85.1Personal history of malignant neoplasm of trachea, bronchus and lung
- Z85.2Personal history of malignant neoplasm of other respiratory and intrathoracic organs
- Z85.4Personal history of malignant neoplasm of genital organs
- Z85.5Personal history of malignant neoplasm of urinary tract
- Z85.6Personal history of leukemia
- Z85.7Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- Z85.8Personal history of malignant neoplasms of other organs and systems
- Z85.9Personal history of malignant neoplasm, unspecified