Z86.00 — Personal history of in-situ neoplasm
Z86.00 is a non-billable header ICD-10-CM code for personal history of in-situ neoplasm. 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.
Excludes2 inherited from the categories above Z86.00
Also inherited, and the opposite of Excludes1: these conditions are not part of Z86.00, but a patient can have both, so you may code both.
Other codes that can never be billed with Z86.00
These codes carry an Excludes1 note pointing at Z86.00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z86.00 alone.
- Z87.41Personal history of dysplasia of the female genital tract
Risk adjustment
Z86.00 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.
The condition this code belongs to
Every code for the condition on one page, which one applies when, and the mistake coders make with it.
Code history
Z86.00 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead Z86.00
10 child codes. Green means billable.
- Z86.000Personal history of in-situ neoplasm of breast
- Z86.001Personal history of in-situ neoplasm of cervix uteri
- Z86.002Personal history of in-situ neoplasm of other and unspecified genital organs
- Z86.003Personal history of in-situ neoplasm of oral cavity, esophagus and stomach
- Z86.004Personal history of in-situ neoplasm of other and unspecified digestive organs
- Z86.005Personal history of in-situ neoplasm of middle ear and respiratory system
- Z86.006Personal history of melanoma in-situ
- Z86.007Personal history of in-situ neoplasm of skin
- Z86.008Personal history of in-situ neoplasm of other site
- Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)
Related codes at this level
Codes that share Z86.0. If Z86.00 is not quite right, the correct code is usually one of these.
Questions about Z86.00
- Is Z86.00 a billable ICD-10-CM code?
- No. Z86.00 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z86.00 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).