Is Z85.52 a billable ICD-10-CM code?

No. Z85.52 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z85.52 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).

What cannot be coded together with Z85.52?

Z85.52 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z85.52

Z85.52 — Personal history of malignant neoplasm of kidney

Non-billable headerICD-10-CM

Z85.52 is a non-billable header ICD-10-CM code for personal history of malignant neoplasm of kidney. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

personal history of malignant neoplasm of renal pelvis (Z85.53)

Risk adjustment

Z85.52 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 Z85.52

2 child codes. Green means billable.

Related codes at this level

Codes that share Z85.5. If Z85.52 is not quite right, the correct code is usually one of these.

Questions about Z85.52

Is Z85.52 a billable ICD-10-CM code?: No. Z85.52 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z85.52 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).
What cannot be coded together with Z85.52?: Z85.52 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.