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Z86.008 vs Z87.41

Z86.008 (Personal history of in-situ neoplasm of other site) 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 Z86.008: “personal history of intraepithelial neoplasia III of female genital tract (Z86.001, Z86.008, Z86.00A)”

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

Z86.008Personal history of in-situ neoplasm of other siteZ87.41Personal history of dysplasia of the female genital tract
Billing statusBillableNon-billable header

Report instead: Z87.410, Z87.411, Z87.412

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 in-situ neoplasm of other site is a billable ICD-10-CM diagnosis code (Z86.008).Personal history of dysplasia of the female genital tract is a non-billable ICD-10-CM category code (Z87.41).
Includes
Conditions classifiable to D09
Code first
any follow-up examination after treatment (Z09)
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