Z86.0102 — Personal history of hyperplastic colon polyps
Z86.0102 is a billable, specific ICD-10-CM code for personal history of hyperplastic colon polyps. It is valid for submission on a claim.
Risk adjustment
Z86.0102 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
Z86.0102 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56612Billing and Coding: CT of the Head
How Z86.0102 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 Z86.0102.
- History›personal›neoplasm›benign›colon polyp›hyperplastic
Related codes at this level
Codes that share Z86.010. If Z86.0102 is not quite right, the correct code is usually one of these.
Questions about Z86.0102
- Is Z86.0102 a billable ICD-10-CM code?
- Yes. Z86.0102 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z86.0102 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).