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D26.0 vs Z12.4

D26.0 (Other benign neoplasm of cervix uteri) compared with Z12.4 (Encounter for screening for malignant neoplasm of cervix), from the official CMS tabular data. Z12.4 is the personal-history/screening code for the active disease D26.0 names. MedCoder-derived

Relationship

Review

Condition lifecycle relationship

Z12.4
Encounter for screening for malignant neoplasm of cervix
D26.0
Other benign neoplasm of cervix uteri

Personal-history or screening code versus the active disease.

Benign neoplasm of this site (cervix)

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. Z12.4 is the personal-history or screening code for the active disease D26.0 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.

Side by side

D26.0Other benign neoplasm of cervix uteriZ12.4Encounter for screening for malignant neoplasm of cervix
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsZ00-Z99 — Factors influencing health status and contact with health services
DefinitionOther benign neoplasm of cervix uteri is a billable ICD-10-CM diagnosis code (D26.0).Encounter for screening for malignant neoplasm of cervix is a billable ICD-10-CM diagnosis code (Z12.4).
Includes
Encounter for screening pap smear for malignant neoplasm of cervix
Use additional code
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