Z85.831

Z85.831: Personal history of malignant neoplasm of soft tissue

Billable / specific codeICD-10-CMPOA exempt

Z85.831 is a billable, specific ICD-10-CM code for personal history of malignant neoplasm of soft tissue. It is valid for submission on a claim.

Check Z85.831 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

personal history of malignant neoplasm of skin (Z85.82-)

Excludes2 inherited from the categories above Z85.831

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

Z85.831 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52370Billing and Coding: Bevacizumab and biosimilars
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

Alphabetic index entries that lead here

History›personal›malignant neoplasm›soft tissue

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z85.83

Z85.830Personal history of malignant neoplasm of bone