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D28.1 vs Z12.72

D28.1 (Benign neoplasm of vagina) compared with Z12.72 (Encounter for screening for malignant neoplasm of vagina), from the official CMS tabular data. Z12.72 is the personal-history/screening code for the active disease D28.1 names.

Relationship

Review

Condition lifecycle relationship

Z12.72
Encounter for screening for malignant neoplasm of vagina
D28.1
Benign neoplasm of vagina

Personal-history or screening code versus the active disease.

Benign neoplasm of this site (vagina)

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. Z12.72 is the personal-history or screening code for the active disease D28.1 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

D28.1Benign neoplasm of vaginaZ12.72Encounter for screening for malignant neoplasm of vagina
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionBenign neoplasm of vagina is a billable ICD-10-CM diagnosis code (D28.1).Encounter for screening for malignant neoplasm of vagina is a billable ICD-10-CM diagnosis code (Z12.72).
Includes
adenomatous polyp
benign neoplasm of skin of female genital organs
benign teratoma
Vaginal pap smear status-post hysterectomy for non-malignant condition
Use additional code
code to identify acquired absence of uterus (Z90.71-)
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