Z85.6

Z85.6: Personal history of leukemia

Billable / specific codeICD-10-CMPOA exempt

Z85.6 is a billable, specific ICD-10-CM code for personal history of leukemia. It is valid for submission on a claim.

Check Z85.6 with the rest of the claim: free scrubber

Excludes1: never code together

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

leukemia in remission C91.0-C95.9 with 5th character 1

Inclusion terms

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

Conditions classifiable to C91-C95

Excludes2 inherited from the categories above Z85.6

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 Z85.6

Their own Excludes1 notes name this code, so the conflict is not listed above.

C91Lymphoid leukemia
C92Myeloid leukemia
C93Monocytic leukemia
C94Other leukemias of specified cell type
C95Leukemia of unspecified cell type

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z85.6 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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
A55717Billing and Coding: Lab: Flow Cytometry
A56464Billing and Coding: Flow Cytometry