Is Z86.01 a billable ICD-10-CM code?

No. Z86.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z86.01 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).

Z86.01

Z86.01 — Personal history of benign neoplasm

Non-billable headerICD-10-CM

Z86.01 is a non-billable header ICD-10-CM code for personal history of benign neoplasm. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 inherited from the categories above Z86.01

Also inherited, and the opposite of Excludes1: these conditions are not part of Z86.01, but a patient can have both, so you may code both.

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

Z86.01 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.

COVID-19 ICD-10 codes

Code history

Z86.01 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 Z86.01

4 child codes. Green means billable.

Related codes at this level

Codes that share Z86.0. If Z86.01 is not quite right, the correct code is usually one of these.

Questions about Z86.01

Is Z86.01 a billable ICD-10-CM code?: No. Z86.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z86.01 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).