Z85.4A vs Z87.41
Z85.4A (Personal history of malignant neoplasm of fallopian tube(s)) compared with Z87.41 (Personal history of dysplasia of the female genital tract), 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. Z87.41 carries an Excludes1 note covering Z85.4A: “personal history of malignant neoplasm of female genital tract (Z85.40-Z85.44, Z85.4A)”
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
| Z85.4APersonal history of malignant neoplasm of fallopian tube(s) | Z87.41Personal history of dysplasia of the female genital tract | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | Z00-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) |
| Definition | Personal history of malignant neoplasm of fallopian tube(s) is a billable ICD-10-CM diagnosis code (Z85.4A). | Personal history of dysplasia of the female genital tract is a non-billable ICD-10-CM category code (Z87.41). |
| 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