Z85.5
Z85.5 — Personal history of malignant neoplasm of urinary tract
Non-billable headerICD-10-CM
Z85.5 is a non-billable header ICD-10-CM code for personal history of malignant neoplasm of urinary tract. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with Z85.5
These codes carry an Excludes1 note pointing at Z85.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z85.5 alone.
- Z85.52Personal history of malignant neoplasm of kidney
Risk adjustment
Z85.5 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.
Code to one of these instead Z85.5
6 child codes. Green means billable.
- Z85.50Personal history of malignant neoplasm of unspecified urinary tract organ
- Z85.51Personal history of malignant neoplasm of bladder
- Z85.52Personal history of malignant neoplasm of kidney
- Z85.53Personal history of malignant neoplasm of renal pelvis
- Z85.54Personal history of malignant neoplasm of ureter
- Z85.59Personal history of malignant neoplasm of other urinary tract organ
Related codes at this level
Codes that share Z85. If Z85.5 is not quite right, the correct code is usually one of these.
- 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
- Z85.3Personal history of malignant neoplasm of breast
- Z85.4Personal history of malignant neoplasm of genital organs
- 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
Questions about Z85.5
- Is Z85.5 a billable ICD-10-CM code?
- No. Z85.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z85.5 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).