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C81.74 vs Z85.71

C81.74 (Other Hodgkin lymphoma, lymph nodes of axilla and upper limb) compared with Z85.71 (Personal history of Hodgkin lymphoma), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. C81.74 carries an Excludes1 note covering Z85.71: “personal history of Hodgkin lymphoma (Z85.71)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

C81.74Other Hodgkin lymphoma, lymph nodes of axilla and upper limbZ85.71Personal history of Hodgkin lymphoma
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionOther Hodgkin lymphoma, lymph nodes of axilla and upper limb is a billable ICD-10-CM diagnosis code (C81.74).Personal history of Hodgkin lymphoma is a billable ICD-10-CM diagnosis code (Z85.71).
Includes
Conditions classifiable to C81
Use additional code
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