Z86.0 — Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
Z86.0 is a non-billable header ICD-10-CM code for personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior. It cannot be billed on its own: choose one of the more specific child codes below.
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 neoplasms (Z85.-)
Other codes that can never be billed with Z86.0
These codes carry an Excludes1 note pointing at Z86.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z86.0 alone.
- Z87.41Personal history of dysplasia of the female genital tract
Risk adjustment
Z86.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Z86.0
3 child codes. Green means billable.
Related codes at this level
Codes that share Z86. If Z86.0 is not quite right, the correct code is usually one of these.
- Z86.1Personal history of infectious and parasitic diseases
- Z86.2Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z86.3Personal history of endocrine, nutritional and metabolic diseases
- Z86.5Personal history of mental and behavioral disorders
- Z86.6Personal history of diseases of the nervous system and sense organs
- Z86.7Personal history of diseases of the circulatory system
Questions about Z86.0
- Is Z86.0 a billable ICD-10-CM code?
- No. Z86.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z86.0 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).