MCMedicalCodingSoftware
Z86.00A

Z86.00A: Personal history of in-situ neoplasm of the fallopian tube(s)

Billable / specific codeICD-10-CMPOA exempt

Z86.00A is a billable, specific ICD-10-CM code for personal history of in-situ neoplasm of the fallopian tube(s). It is valid for submission on a claim.

Check Z86.00A with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z86.00A

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.-)

Other codes that can never be billed with Z86.00A

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z87.41Personal history of dysplasia of the female genital tract

Risk adjustment

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

Medicare coverage

Z86.00A is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52370Billing and Coding: Bevacizumab and biosimilars
  • A56542Billing and Coding: BRCA1 and BRCA2 Genetic Testing
  • A56612Billing and Coding: CT of the Head
  • A57449Billing and Coding: BRCA1 and BRCA2 Genetic Testing

Alphabetic index entries that lead here

  • History›personal›in situ neoplasm›fallopian tube(s)

The condition this code belongs to

Code history

  • addedFY2024-FY2027

    Personal history of in-situ neoplasm of the fallopian tube(s)

Other codes under Z86.00

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.