Z85.818

Z85.818: Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx

Billable / specific codeICD-10-CMPOA exempt

Z85.818 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx. It is valid for submission on a claim.

Check Z85.818 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z85.818

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.

Medicare coverage

Z85.818 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
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
A56621Billing and Coding: Swallowing Studies for Dysphagia

Alphabetic index entries that lead here

History›personal›malignant neoplasm›oral cavity›specified site NEC
History›personal›malignant neoplasm›pharynx›specified site NEC

Code history

Unchanged in every release from FY2024 to FY2027.