Z85

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Personal history of malignant neoplasm

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Z77-Z99 Parent Instructions

Code Also
  • any follow-up examination (Z08-Z09)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • personal history of benign neoplasm (Z86.01-)
  • personal history of carcinoma-in-situ (Z86.00-)
Code First
  • any follow-up examination after treatment of malignant neoplasm (Z08)
Use Additional Code
  • code to identify:
  • alcohol use and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z85Personal history of malignant neoplasmNot billable
Z85.0Personal history of malignant neoplasm of digestive organsSubcodes
Z85.1Personal history of malignant neoplasm of trachea, bronchus and lungSubcodes
Z85.2Personal history of malignant neoplasm of other respiratory and intrathoracic organsSubcodes
Z85.3Personal history of malignant neoplasm of breastBillable
Z85.4Personal history of malignant neoplasm of genital organsSubcodes
Z85.5Personal history of malignant neoplasm of urinary tractSubcodes
Z85.6Personal history of leukemiaBillable
Z85.7Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissuesSubcodes
Z85.8Personal history of malignant neoplasms of other organs and systemsSubcodes
Z85.9Personal history of malignant neoplasm, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z85:

blockZ77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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