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Z85.4A

Z85.4A: Personal history of malignant neoplasm of fallopian tube(s)

Billable / specific codeICD-10-CMPOA exempt

Z85.4A is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of fallopian tube(s). It is valid for submission on a claim.

Check Z85.4A with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z85.4A

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 Z85.4A

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

Z85.4A is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52370Billing and Coding: Bevacizumab and biosimilars
  • A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
  • A52479Oral Anticancer Drugs - Policy Article
  • A54338Billing and Coding: MolDX: Germline testing for use of PARP inhibitors

Alphabetic index entries that lead here

  • History›personal›malignant neoplasm›fallopian tube(s)

Code history

  • addedFY2024-FY2027

    Personal history of malignant neoplasm of fallopian tube(s)

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.