Z86.005

Z86.005: Personal history of in-situ neoplasm of middle ear and respiratory system

Billable / specific codeICD-10-CMPOA exempt

Z86.005 is a billable, specific ICD-10-CM code for personal history of in-situ neoplasm of middle ear and respiratory system. It is valid for submission on a claim.

Check Z86.005 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 D02

Excludes2 inherited from the categories above Z86.005

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

Z86.005 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

History›personal›in situ neoplasm›middle ear
History›personal›in situ neoplasm›respiratory system
History›personal›neoplasm›in situ›middle ear
History›personal›neoplasm›in situ›respiratory system

The condition this code belongs to

COVID-19 ICD-10 codes

Code history

Unchanged in every release from FY2024 to FY2027.