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D30.4 vs Z80.42

D30.4 (Benign neoplasm of urethra) compared with Z80.42 (Family history of malignant neoplasm of prostate), from the official CMS tabular data. Z80.42 is the personal-history/screening code for the active disease D30.4 names.

Relationship

Review

Condition lifecycle relationship

Z80.42
Family history of malignant neoplasm of prostate
D30.4
Benign neoplasm of urethra

Personal-history or screening code versus the active disease.

Benign neoplasm of 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)

Can these codes be reported together?

History or screening versus active disease. Z80.42 is the personal-history or screening code for the active disease D30.4 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

D30.4Benign neoplasm of urethraZ80.42Family history of malignant neoplasm of prostate
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionBenign neoplasm of urethra is a billable ICD-10-CM diagnosis code (D30.4).Family history of malignant neoplasm of prostate is a billable ICD-10-CM diagnosis code (Z80.42).

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