{"code":"Z85.0","type":"code","title":"Personal history of malignant neoplasm of digestive organs","codeAlso":["any follow-up examination (Z08-Z09)"],"includes":[],"modern_v":"official26","codeFirst":["any follow-up examination after treatment of malignant neoplasm (Z08)"],"excludes1":[],"excludes2":["personal history of benign neoplasm (Z86.01-)","personal history of carcinoma-in-situ (Z86.00-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["Z85.01","Z85.02","Z85.020","Z85.028","Z85.03","Z85.030","Z85.038","Z85.04","Z85.040","Z85.048","Z85.05","Z85.06","Z85.060","Z85.068","Z85.07","Z85.09"],"inclusionTerms":[],"sibling_titles":{"code":"Z85.09","title":"Personal history of malignant neoplasm of other digestive organs","isBillable":true},"useAdditionalCode":["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)"],"clinicalDefinition":"Personal history of malignant neoplasm of digestive organs is a non-billable ICD-10-CM category code (Z85.0). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): 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.","officialDefinition":"Personal history of malignant neoplasm of digestive organs is a non-billable ICD-10-CM category code (Z85.0). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): 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). Code also: any follow-up examination (Z08-Z09).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"personal history of benign neoplasm (Z86.01-)":"Z85","personal history of carcinoma-in-situ (Z86.00-)":"Z85","any follow-up examination after treatment of malignant neoplasm (Z08)":"Z85","code to identify:":"Z85","alcohol use and dependence (F10.-)":"Z85","exposure to environmental tobacco smoke (Z77.22)":"Z85","history of tobacco dependence (Z87.891)":"Z85","occupational exposure to environmental tobacco smoke (Z57.31)":"Z85","tobacco dependence (F17.-)":"Z85","tobacco use (Z72.0)":"Z85"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}