Full Answer
Personal history of malignant neoplasm, unspecified. Z85.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-9-CM V10.83 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V10.83 should only be used for claims with a date of service on or before September 30, 2015.
For example, a patient had colon cancer and is status post-surgery/chemo/radiation. The patient chart notes, “no evidence of disease” (NED). This is reported with follow-up code Z08, first, and history code Z85.038 Personal history of other malignant neoplasm of large intestine, second.
These exams are vital to a patient that has had cancer, completed treatment, and is currently free of the disease. Our doctors are still going to do the scope even if the payers policy states that a history code is not a valid diagnosis for the procedure. We have the most denials from Humana for this issue.
Patients with history of malignant neoplasm, and not currently under treatment for cancer, and there is no evidence of existing primary malignancy, a code from category Z85, personal history of malignant neoplasm, should be used.
The ICD-10-CM guidelines indicate that a personal history code from category Z85 should be assigned when: x The primary malignancy has been previously excised or eradicated; and x There is no further treatment directed to that site; and x There is no evidence of any existing primary malignancy.
ICD-10 code Z12 for Encounter for screening for malignant neoplasms is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code C80. 1, Malignant (primary) neoplasm, unspecified, equates to Cancer, unspecified.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 code Z08 for Encounter for follow-up examination after completed treatment for malignant neoplasm is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
When a primary malignancy has been previously excised or eradicated from its site, there is no further treatment (of the malignancy) directed to that site, and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former ...
Breast Cancer ICD-10 Code Reference SheetPERSONAL OR FAMILY HISTORY*Z85.3Personal history of malignant neoplasm of breastZ80.3Family history of malignant neoplasm of breast
ICD-10-CM Code for Personal history of malignant neoplasm of breast Z85. 3.