Category · FY2027
Z86 Personal history of certain other diseases
- Header · not billable
Z86 is not billable. The category heads 40 billable codes in FY2027, grouped under 7 subdivisions.
FY2027 changes under Z86: 1 billable code added. All FY2027 changes.
Index → code
Where it sits
- Billable codes
- 40
- Subdivisions
- 7
- CC / MCC codes
- 0 / 0
- HCC V28 codes
- 0
- New FY2027
- 1
- Index entries
- 133
Codes in Z86
- Z86.0Personal history of in-situ and benign neoplasms and neoplasms of uncertain behaviorHeader
Excludes2 1
Excludes2
- personal history of malignant neoplasms (Z85.-) Z85
- Z86.00
- Z86.000Personal history of in-situ neoplasm of breastBillableExempt
Inclusion terms 1
Inclusion terms
- Conditions classifiable to D05 D05
- Z86.001Personal history of in-situ neoplasm of cervix uteriBillableExempt
Inclusion terms 2
Inclusion terms
- Conditions classifiable to D06 D06
- Personal history of cervical intraepithelial neoplasia III [CIN III]
- Z86.002Personal history of in-situ neoplasm of other and unspecified genital organsBillableExempt
Inclusion terms 4
Inclusion terms
- Conditions classifiable to D07 D07
- Personal history of high-grade prostatic intraepithelial neoplasia III [HGPIN III]
- Personal history of vaginal intraepithelial neoplasia III [VAIN III]
- Personal history of vulvar intraepithelial neoplasia III [VIN III]
- Z86.003Personal history of in-situ neoplasm of oral cavity, esophagus and stomachBillableExempt
Inclusion terms 1
Inclusion terms
- Conditions classifiable to D00 D00
- Z86.004Personal history of in-situ neoplasm of other and unspecified digestive organsBillableExempt
Inclusion terms 2
Inclusion terms
- Conditions classifiable to D01 D01
- Personal history of anal intraepithelial neoplasia (AIN III)
- Z86.005Personal history of in-situ neoplasm of middle ear and respiratory systemBillableExempt
Inclusion terms 1
Inclusion terms
- Conditions classifiable to D02 D02
- Z86.006Personal history of melanoma in-situBillableExempt
Inclusion terms 1, Excludes2 1
Inclusion terms
- Conditions classifiable to D03 D03
Excludes2
- sites other than skin - code to personal history of in-situ neoplasm of the site
- Z86.007Personal history of in-situ neoplasm of skinBillableExempt
Inclusion terms 2
Inclusion terms
- Conditions classifiable to D04 D04
- Personal history of carcinoma in situ of skin
- Z86.008Personal history of in-situ neoplasm of other siteBillableExempt
Inclusion terms 1
Inclusion terms
- Conditions classifiable to D09 D09
- Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)BillableExempt
- Z86.01Personal history of benign neoplasmHeader
- Z86.010Personal history of colon polypsHeader
Inclusion terms 2
Inclusion terms
- Personal history of colorectal polyps
- Personal history of rectal polyps
- Z86.0100Personal history of colon polyps, unspecifiedBillableExempt
Inclusion terms 1
Inclusion terms
- Personal history of colon polyps NOS
- Z86.0101Personal history of adenomatous and serrated colon polypsBillableExempt
Inclusion terms 6
Inclusion terms
- Personal history of tubular adenoma polyps
- Personal history of sessile adenomatous colon polyp
- Personal history of sessile serrated colon polyp
- Personal history of tubulovillous adenoma polyps
- Personal history of villous adenoma polyps
- Personal history of traditional serrated adenoma polyps
- Z86.0102Personal history of hyperplastic colon polypsBillableExempt
- Z86.0109Personal history of other colon polypsBillableExempt
- Z86.011Personal history of benign neoplasm of the brainBillableExempt
- Z86.012Personal history of benign carcinoid tumorBillableExempt
- Z86.018Personal history of other benign neoplasmBillableExempt
- Z86.03Personal history of neoplasm of uncertain behaviorBillableExempt
- Z86.1
- Z86.11Personal history of tuberculosisBillableExempt
- Z86.12Personal history of poliomyelitisBillableExempt
- Z86.13Personal history of malariaBillableExempt
- Z86.14Personal history of Methicillin resistant Staphylococcus aureus infectionBillableExempt
Inclusion terms 1
Inclusion terms
- Personal history of MRSA infection
- Z86.15Personal history of latent tuberculosis infectionBillableExempt
- Z86.16
- Z86.17Personal history of Clostridioides difficile infection New FY2027BillableExempt
Inclusion terms 3, Excludes1 1
Inclusion terms
- Personal history of Clostridium difficile colitis (fulminant) (nonfulminant)
- Personal history of foodborne intoxication by Clostridium difficile
- Personal history of Pseudomembraneous colitis
Excludes1
- enterocolitis due to Clostridium difficile, recurrent (A04.71) A04.71
- Z86.19Personal history of other infectious and parasitic diseasesBillableExempt
- Z86.2
- Z86.3
- Z86.31
- Z86.32
- Z86.39Personal history of other endocrine, nutritional and metabolic diseaseBillableExempt
- Z86.5
- Z86.51Personal history of combat and operational stress reactionBillableExempt
- Z86.59Personal history of other mental and behavioral disordersBillableExempt
- Z86.6
- Z86.61Personal history of infections of the central nervous systemBillableExempt
Inclusion terms 2
Inclusion terms
- Personal history of encephalitis
- Personal history of meningitis
- Z86.69Personal history of other diseases of the nervous system and sense organsBillableExempt
- Z86.7
- Z86.71Personal history of venous thrombosis and embolismHeader
- Z86.711Personal history of pulmonary embolismBillableExempt
- Z86.718Personal history of other venous thrombosis and embolismBillableExempt
- Z86.72Personal history of thrombophlebitisBillableExempt
- Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficitsBillableExempt
- Z86.74Personal history of sudden cardiac arrestBillableExempt
Inclusion terms 1
Inclusion terms
- Personal history of sudden cardiac death successfully resuscitated
- Z86.79Personal history of other diseases of the circulatory systemBillableExempt
Instructions
At Z86
Code first
- any follow-up examination after treatment (Z09) Z09
Notes that also apply
Block Z77-Z99 instructions (Code also 1): printed on the block page.
Chapter 21 instructions (Notes 3): printed on the chapter 21 page.
Index entries
- COVID-19›history of (personal) → Z86.16
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel)›history (of) → Z86.718
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel)›personal history (of) → Z86.718
- History›personal (of)›benign carcinoid tumor → Z86.012
- History›personal (of)›benign neoplasm → Z86.018
- History›personal (of)›Methicillin resistant Staphylococcus aureus (MRSA) → Z86.14
- History›personal (of)›latent tuberculosis infection → Z86.15
- History›personal (of)›tuberculosis, latent infection → Z86.15
- History›personal (of)›coronavirus (disease) (novel) 2019 → Z86.16
- History›personal (of)›COVID-19 → Z86.16
- History›personal (of)›SARS-CoV-2 infection → Z86.16
- Hepatitis›history of›B → Z86.19
- Hepatitis›history of›C → Z86.19
- History›personal (of)›infection NEC → Z86.19
- History›personal (of)›diabetic foot ulcer → Z86.31
- History›personal (of)›gestational diabetes → Z86.32
- History›personal (of)›nutritional deficiency → Z86.39
- History›personal (of)›combat and operational stress reaction → Z86.51
- History›personal (of)›behavioral disorders → Z86.59
- History›personal (of)›mental disorder → Z86.59
- History›personal (of)›encephalitis → Z86.61
- History›personal (of)›meningitis → Z86.61
- Embolism (multiple) (paradoxical)›pulmonary (acute) (artery) (vein)›healed or old → Z86.711
- Embolism (multiple) (paradoxical)›pulmonary (acute) (artery) (vein)›personal history of → Z86.711
- History›personal (of)›embolism (venous) → Z86.718
- History›personal (of)›thrombosis (venous) → Z86.718
- History›personal (of)›venous thrombosis or embolism → Z86.718
- History›personal (of)›thrombophlebitis → Z86.72
- Accident›cerebrovascular (ischemic)›chronic (old) (remote) (imaging) (without sequelae) → Z86.73
- Accident›cerebrovascular (ischemic)›old (without sequelae) → Z86.73
- History›personal (of)›cerebral infarction without residual deficit → Z86.73
- History›personal (of)›prolonged reversible ischemic neurologic deficit (PRIND) → Z86.73
- History›personal (of)›stroke without residual deficits → Z86.73
- History›personal (of)›transient ischemic attack (TIA) without residual deficits → Z86.73
- Infarct, infarction›cerebral (acute)›chronic (imaging) (old) (remote) (without sequelae) → Z86.73
- Stroke (apoplectic) (brain) (ischemic) (paralytic)›cerebrovascular (ischemic)›chronic (old) (remote) (imaging) (without sequelae) → Z86.73
- Arrest, arrested›cardiac›personal history, successfully resuscitated → Z86.74
- Death (cause unknown) (of) (unexplained) (unspecified cause)›cardiac (sudden) (with successful resuscitation)›personal history of → Z86.74
- History›personal (of)›cardiac arrest (death), successfully resuscitated → Z86.74
- History›personal (of)›sudden cardiac arrest → Z86.74
93 more, longer entries are not listed; the search box finds them by word.
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