Z85.4

Z85.4: Personal history of malignant neoplasm of genital organs

Non-billable headerICD-10-CM

Z85.4 is a non-billable header ICD-10-CM code for personal history of malignant neoplasm of genital organs. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

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

Conditions classifiable to C51-C63

Excludes2 inherited from the categories above Z85.4

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-)

Other codes that can never be billed with Z85.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z87.430Personal history of prostatic dysplasia
Z87.44Personal history of diseases of urinary system
Z87.41Personal history of dysplasia of the female genital tract

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z85.4

11 child codes. Green means billable.