Z86.01

Non-Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Personal history of benign neoplasm

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).
General instructions are available for the parent sections:

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)
Z86Personal history of certain other diseases
Z86.0Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
Z86.01Personal history of benign neoplasmNot billable
Z86.010Personal history of colon polypsSubcodes
Z86.011Personal history of benign neoplasm of the brainBillable
Z86.012Personal history of benign carcinoid tumorBillable
Z86.018Personal history of other benign neoplasmBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z86.01:

subcategoryZ86.0
Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
View context instructions
categoryZ86
Personal history of certain other diseases
View context instructions
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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