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Z85.40

Z85.40: Personal history of malignant neoplasm of unspecified female genital organ

Billable / specific codeICD-10-CMPOA exempt

Z85.40 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of unspecified female genital organ. It is valid for submission on a claim.

Check Z85.40 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z85.40

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 Z85.40

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

  • 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.

Medicare coverage

Z85.40 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52479Oral Anticancer Drugs - Policy Article
  • A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A58652Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer

Alphabetic index entries that lead here

  • History›personal›malignant neoplasm›genital organ›female

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z85.4

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.