Z86.0
Non-Billable

Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior

Non-Billable / Non-Specific Code

What is Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior?

ICD-10-CM Z86.0 is the diagnosis code for Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior. This code falls under the section "Persons with potential health hazards related to family and personal history and certain conditions influencing health status" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for Z86.0

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in Z86.0. If the patient has both, code each condition separately:

  • personal history of malignant neoplasms (Z85.-)

ICD-10-CM Code Hierarchy

Understanding where Z86.0 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
Z86.00Personal history of in-situ neoplasmNon-BillableZ86.000Personal history of in-situ neoplasm of breastBillableZ86.001Personal history of in-situ neoplasm of cervix uteriBillableZ86.002Personal history of in-situ neoplasm of other and unspecified genital organsBillableZ86.003Personal history of in-situ neoplasm of oral cavity, esophagus and stomachBillableZ86.004Personal history of in-situ neoplasm of other and unspecified digestive organsBillableZ86.005Personal history of in-situ neoplasm of middle ear and respiratory systemBillableZ86.006Personal history of melanoma in-situBillableZ86.007Personal history of in-situ neoplasm of skinBillableZ86.008Personal history of in-situ neoplasm of other siteBillableZ86.00APersonal history of in-situ neoplasm of the fallopian tube(s)BillableZ86.01Personal history of benign neoplasmNon-BillableZ86.010Personal history of colon polypsNon-BillableZ86.0100Personal history of colon polyps, unspecifiedBillableZ86.0101Personal history of adenomatous and serrated colon polypsBillableZ86.0102Personal history of hyperplastic colon polypsBillableZ86.0109Personal history of other colon polypsBillableZ86.011Personal history of benign neoplasm of the brainBillableZ86.012Personal history of benign carcinoid tumorBillableZ86.018Personal history of other benign neoplasmBillableZ86.03Personal history of neoplasm of uncertain behaviorBillable
Related Codes

Frequently Asked Questions

Is Z86.0 a billable ICD-10-CM code?

No, Z86.0 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Z86.0 mean?

Z86.0 is the ICD-10-CM diagnosis code for "Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Z86.0?

The parent code of Z86.0 is Z86 ("Personal history of certain other diseases"). Z86.0 provides a more specific classification within this category.

What section is Z86.0 in?

Z86.0 is located in Section Z77-Z99 — "Persons with potential health hazards related to family and personal history and certain conditions influencing health status" within Chapter 21 of the ICD-10-CM Tabular List.

What are the sub-codes of Z86.0?

Z86.0 has 3 sub-code(s) that provide more specific detail: Z86.00, Z86.01, Z86.03.

When should I use Z86.0?

Use Z86.0 when the patients documented diagnosis matches "Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior?

The ICD-10-CM code for Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior is Z86.0.

Can Z86.0 be used for primary diagnosis?

No, Z86.0 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Z86.0 in?

Z86.0 is in Chapter 21 of the ICD-10-CM Tabular List.

Is Z86.0 valid for 2026?

Yes, Z86.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousZ86Personal history of certain other diseasesNext →Z86.00Personal history of in-situ neoplasm
Code Details
Z86.0
Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
Non-Billable / Non-Specific Code
21 — Factors influencing health status and contact with health services (Z00-Z99)
Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status
2026 ICD-10-CM