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Compare/Z92.26 vs Z92.85

Z92.26 vs Z92.85

Z92.26 (Personal history of immune checkpoint inhibitor therapy) compared with Z92.85 (Personal history of cellular therapy), 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. Z92.85 carries an Excludes2 note covering Z92.26: “personal history of immune checkpoint inhibitor therapy (Z92.26)”

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

Side by side

Z92.26Personal history of immune checkpoint inhibitor therapyZ92.85Personal history of cellular therapy
Billing statusBillableNon-billable header

Report instead: Z92.850, Z92.858, Z92.859

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 immune checkpoint inhibitor therapy is a billable ICD-10-CM diagnosis code (Z92.26).Personal history of cellular therapy is a non-billable ICD-10-CM category code (Z92.85).
Includes
Personal history of ICI drug therapy

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