New code ยท FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
Z86.00A
- Z86CategoryPersonal history of certain other diseases
- 0Character 4Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
- 0Character 5Personal history of in-situ neoplasm
- ACharacter 6Personal history of in-situ neoplasm of the fallopian tube(s)
Coding notes
Inclusion terms (from Z86.00)
- Conditions classifiable to D00-D09
Excludes2 (from Z86.0)
- personal history of malignant neoplasms (Z85.-)
Code first (from Z86)
- any follow-up examination after treatment (Z09)
Medicare coverage
Z86.00A is listed as a covered diagnosis in 9 Medicare billing and coding articles:
- A52370 Billing and Coding: Bevacizumab and biosimilars
- A56542 Billing and Coding: BRCA1 and BRCA2 Genetic Testing
- A56612 Billing and Coding: CT of the Head
- A57449 Billing and Coding: BRCA1 and BRCA2 Genetic Testing
- A57450 Billing and Coding: Genetic Testing for Lynch Syndrome
- A58652 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
- A58679 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
- A58734 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
- A58756 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Check this code
- Code search: full entry and nearby codes
- Excludes checker: can it be billed with another code?
- Coverage checker: is it covered for your CPT code?
ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.