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Z86.0102

Z86.0102: Personal history of hyperplastic colon polyps

Billable / specific codeICD-10-CMPOA exempt

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.

Check Z86.0102 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z86.0102

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

Z86.0102 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • History›personal›neoplasm›benign›colon polyp›hyperplastic

The condition this code belongs to

Code history

  • addedFY2024-FY2027

    Personal history of hyperplastic colon polyps

Other codes under Z86.010

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.