Z86.004

Z86.004: Personal history of in-situ neoplasm of other and unspecified digestive organs

Billable / specific codeICD-10-CMPOA exempt

Z86.004 is a billable, specific ICD-10-CM code for personal history of in-situ neoplasm of other and unspecified digestive organs. It is valid for submission on a claim.

Check Z86.004 with the rest of the claim: free scrubber

Inclusion terms

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

Conditions classifiable to D01
Personal history of anal intraepithelial neoplasia (AIN III)

Excludes2 inherited from the categories above Z86.004

Not part of this code, but both may be coded when both are present.

Written on Z86.0: Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior

personal history of malignant neoplasms (Z85.-)

Risk adjustment

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

Medicare coverage

Z86.004 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56612Billing and Coding: CT of the Head
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy

Alphabetic index entries that lead here

History›personal›in situ neoplasm›digestive organs, specified NEC
History›personal›neoplasia›anal intraepithelial, III [AIN III]
History›personal›neoplasm›in situ›digestive organs, specified NEC

The condition this code belongs to

COVID-19 ICD-10 codes

Code history

Unchanged in every release from FY2024 to FY2027.