Z85.45 — Personal history of malignant neoplasm of unspecified male genital organ
Z85.45 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of unspecified male genital organ. It is valid for submission on a claim.
Risk adjustment
Z85.45 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Z85.45 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- 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
How Z85.45 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z85.45.
- History›personal›malignant neoplasm›genital organ›male
Related codes at this level
Codes that share Z85.4. If Z85.45 is not quite right, the correct code is usually one of these.
- Z85.40Personal history of malignant neoplasm of unspecified female genital organ
- Z85.41Personal history of malignant neoplasm of cervix uteri
- Z85.42Personal history of malignant neoplasm of other parts of uterus
- Z85.43Personal history of malignant neoplasm of ovary
- Z85.44Personal history of malignant neoplasm of other female genital organs
- Z85.46Personal history of malignant neoplasm of prostate
- Z85.47Personal history of malignant neoplasm of testis
- Z85.48Personal history of malignant neoplasm of epididymis
- Z85.49Personal history of malignant neoplasm of other male genital organs
- Z85.4APersonal history of malignant neoplasm of fallopian tube(s)
Questions about Z85.45
- Is Z85.45 a billable ICD-10-CM code?
- Yes. Z85.45 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z85.45 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).