C61 (Malignant neoplasm of prostate) compared with Z12.5 (Encounter for screening for malignant neoplasm of prostate), from the official CMS tabular data. Z12.5 is the personal-history/screening code for the active disease C61 names. MedCoder-derived
Personal-history or screening code versus the active disease.
Active disease for this site (prostate)
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)
History or screening versus active disease. Z12.5 is the personal-history or screening code for the active disease C61 names.
Site match derived from the code’s own title against the CMS/CDC 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.
| C61Malignant neoplasm of prostate | Z12.5Encounter for screening for malignant neoplasm of prostate | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | C00-D49 — Neoplasms | Z00-Z99 — Factors influencing health status and contact with health services |
| Definition | Malignant neoplasm of prostate is a billable ICD-10-CM diagnosis code (C61). | Encounter for screening for malignant neoplasm of prostate is a billable ICD-10-CM diagnosis code (Z12.5). |
| Includes | malignant neoplasm of skin of male genital organs | — |
| Use additional code | code, if applicable, to identify: hormone sensitivity status (Z19.1-Z19.2) rising PSA following treatment for malignant neoplasm of prostate (R97.21) | code to identify any family history of malignant neoplasm (Z80.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources