Z86.00A — Personal history of in-situ neoplasm of the fallopian tube(s)
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.
Other codes that can never be billed with Z86.00A
These codes carry an Excludes1 note pointing at Z86.00A. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z86.00A alone.
- Z87.41Personal history of dysplasia of the female genital tract
Risk adjustment
Z86.00A 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.
Medicare coverage
Z86.00A is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How Z86.00A is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z86.00A.
- History›personal›in situ neoplasm›fallopian tube(s)
Related codes at this level
Codes that share Z86.00. If Z86.00A is not quite right, the correct code is usually one of these.
- 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
Questions about Z86.00A
- Is Z86.00A a billable ICD-10-CM code?
- Yes. Z86.00A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z86.00A 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).