MCMedicalCodingSoftware
Z85.81

Z85.81: Personal history of malignant neoplasm of lip, oral cavity, and pharynx

Non-billable headerICD-10-CM

Z85.81 is a non-billable header ICD-10-CM code for personal history of malignant neoplasm of lip, oral cavity, and pharynx. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

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

  • Conditions classifiable to C00-C14

Excludes2 inherited from the categories above Z85.81

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-)

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z85.81

3 child codes. Green means billable.

Other codes under Z85.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.