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C50.A vs Z85.3

C50.A (Malignant inflammatory neoplasm of breast) compared with Z85.3 (Personal history of malignant neoplasm of breast), from the official CMS tabular data. Z85.3 is the personal-history/screening code for the active disease C50.A names.

Relationship

Review

Condition lifecycle relationship

Z85.3
Personal history of malignant neoplasm of breast
C50.A
Malignant inflammatory neoplasm of breast

Personal-history or screening code versus the active disease.

Active disease for this site (breast)

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. Z85.3 is the personal-history or screening code for the active disease C50.A 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

C50.AMalignant inflammatory neoplasm of breastZ85.3Personal history of malignant neoplasm of breast
Billing statusNon-billable header

Report instead: C50.A0, C50.A1, C50.A2

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionMalignant inflammatory neoplasm of breast is a non-billable ICD-10-CM category code (C50.A).Personal history of malignant neoplasm of breast is a billable ICD-10-CM diagnosis code (Z85.3).
Includes
connective tissue of breast
Paget's disease of breast
Paget's disease of nipple
Inflammatory breast cancer (IBC)
Conditions classifiable to C50.-
Use additional code
code to identify estrogen, and other hormones and factors receptor status (Z17.-)
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)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources