Skip to main content

Z85 vs Z86.007

Z85 (Personal history of malignant neoplasm) compared with Z86.007 (Personal history of in-situ neoplasm of skin), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. Z85 carries an Excludes2 note covering Z86.007: “personal history of carcinoma-in-situ (Z86.00-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. Z86.007 carries an Excludes2 note covering Z85: “personal history of malignant neoplasms (Z85.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

Z85Personal history of malignant neoplasmZ86.007Personal history of in-situ neoplasm of skin
Billing statusNon-billable header

Report instead: Z85.00, Z85.01, Z85.020, Z85.028, Z85.030

Billable
ClassificationZ00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionPersonal history of malignant neoplasm is a non-billable ICD-10-CM category code (Z85).Personal history of in-situ neoplasm of skin is a billable ICD-10-CM diagnosis code (Z86.007).
Includes
Conditions classifiable to D04
Personal history of carcinoma in situ of skin
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)
any follow-up examination after treatment (Z09)

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