Is Z85.520 a billable ICD-10-CM code?

Yes. Z85.520 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z85.520 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 Z85.520?

Z85.520 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z85.520 (Z85.52) and apply to it just the same.

Z85.520

Z85.520 — Personal history of malignant carcinoid tumor of kidney

Billable / specific codeICD-10-CMPOA exempt

Z85.520 is a billable, specific ICD-10-CM code for personal history of malignant carcinoid tumor of kidney. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Conditions classifiable to C7A.093

Excludes1 inherited from the categories above Z85.520

These are not written on Z85.520, but they bind it: a note on a category applies to every code beneath it. Billing Z85.520 with anything listed here is a denial.

Written on Z85.52 — Personal history of malignant neoplasm of kidney

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

Excludes2 inherited from the categories above Z85.520

Also inherited, and the opposite of Excludes1: these conditions are not part of Z85.520, but a patient can have both, so you may code both.

Written on Z85 — Personal history of malignant neoplasm

personal history of benign neoplasm (Z86.01-)
personal history of carcinoma-in-situ (Z86.00-)

Risk adjustment

Z85.520 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

Z85.520 is named in 16 Medicare coverage policies — 16 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
A52479Oral Anticancer Drugs - Policy Article
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

How Z85.520 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 Z85.520.

History›personal›malignant neoplasm›kidney NEC›carcinoid

Code history

Z85.520 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Z85.52. If Z85.520 is not quite right, the correct code is usually one of these.

Z85.528Personal history of other malignant neoplasm of kidney

Questions about Z85.520

Is Z85.520 a billable ICD-10-CM code?: Yes. Z85.520 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z85.520 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 Z85.520?: Z85.520 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z85.520 (Z85.52) and apply to it just the same.