Z85.53
Z85.53: Personal history of malignant neoplasm of renal pelvis
Billable / specific codeICD-10-CMPOA exempt
Z85.53 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of renal pelvis. It is valid for submission on a claim.
Check Z85.53 with the rest of the claim: free scrubberOther codes that can never be billed with Z85.53
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z85.52Personal history of malignant neoplasm of kidney
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z85.53 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52370Billing and Coding: Bevacizumab and biosimilars
- 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- History›personal›malignant neoplasm›pelvis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z85.5
- 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
- Z85.54Personal history of malignant neoplasm of ureter
- Z85.59Personal history of malignant neoplasm of other urinary tract organ