Z85.79

Z85.79: Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues

Billable / specific codeICD-10-CMPOA exempt

Z85.79 is a billable, specific ICD-10-CM code for personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues. It is valid for submission on a claim.

Check Z85.79 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.

multiple myeloma in remission (C90.01)
plasma cell leukemia in remission (C90.11)
plasmacytoma in remission (C90.21)

Inclusion terms

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

Conditions classifiable to C88-C90, C96

Excludes2 inherited from the categories above Z85.79

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 Z85.79

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

C88Malignant immunoproliferative diseases and certain other B-cell lymphomas
C90Multiple myeloma and malignant plasma cell neoplasms
C96Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue

Risk adjustment

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

Medicare coverage

Z85.79 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
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56464Billing and Coding: Flow Cytometry