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C40.0 vs Z85.830

C40.0 (Malignant neoplasm of scapula and long bones of upper limb) compared with Z85.830 (Personal history of malignant neoplasm of bone), from the official CMS tabular data. Z85.830 is the personal-history/screening code for the active disease C40.0 names. MedCoder-derived

Relationship

Review

Condition lifecycle relationship

Z85.830
Personal history of malignant neoplasm of bone
↔
C40.0
Malignant neoplasm of scapula and long bones of upper limb

Personal-history or screening code versus the active disease.

Active disease for this site (bone)

A personal-history code describes a condition that no longer exists and is no longer being treated, so it is not interchangeable with the active-disease code for the same site.

Source: CMS Table of Neoplasms (site match derived from the code title)

Can these codes be reported together?

History or screening versus active disease. Z85.830 is the personal-history or screening code for the active disease C40.0 names.

Site match derived from the code’s own title against the CMS Table of Neoplasms. A personal-history code describes a condition that no longer exists and is no longer being treated, so it is not interchangeable with the active-disease code.

Side by side

C40.0Malignant neoplasm of scapula and long bones of upper limbZ85.830Personal history of malignant neoplasm of bone
Billing statusNon-billable header

Report instead: C40.00, C40.01, C40.02

Billable
ClassificationC00-D49 — NeoplasmsZ00-Z99 — Factors influencing health status and contact with health services
DefinitionMalignant neoplasm of scapula and long bones of upper limb is a non-billable ICD-10-CM category code (C40.0).Personal history of malignant neoplasm of bone is a billable ICD-10-CM diagnosis code (Z85.830).
Includes
malignant neoplasm of cartilage (articular) (joint)
malignant neoplasm of periosteum
—
Use additional code
code to identify major osseous defect, if applicable (M89.7-)
code to identify:
alcohol use and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
Code first—
any follow-up examination after treatment of malignant neoplasm (Z08)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources