Z86.5
Z86.5 — Personal history of mental and behavioral disorders
Non-billable headerICD-10-CM
Z86.5 is a non-billable header ICD-10-CM code for personal history of mental and behavioral disorders. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z86.5 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.
Code to one of these instead Z86.5
2 child codes. Green means billable.
Related codes at this level
Codes that share Z86. If Z86.5 is not quite right, the correct code is usually one of these.
- Z86.0Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
- Z86.1Personal history of infectious and parasitic diseases
- Z86.2Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z86.3Personal history of endocrine, nutritional and metabolic diseases
- Z86.6Personal history of diseases of the nervous system and sense organs
- Z86.7Personal history of diseases of the circulatory system
Questions about Z86.5
- Is Z86.5 a billable ICD-10-CM code?
- No. Z86.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z86.5 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).