2023 ICD-10-CM Diagnosis Code Z85.3

Personal history of malignant neoplasm of breast

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z85.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z85.3 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z85.3 - other international versions of ICD-10 Z85.3 may differ.
Applicable To
  • Conditions classifiable to
    ICD-10-CM Diagnosis Code C50
    • C50 Malignant neoplasm of breast
      • C50.0 Malignant neoplasm of nipple and areola
        • C50.01 Malignant neoplasm of nipple and areola, fema...
          • C50.011 Malignant neoplasm of nipple and areola, righ...
          • C50.012 Malignant neoplasm of nipple and areola, left...
          • C50.019 Malignant neoplasm of nipple and areola, unsp...
        • C50.02 Malignant neoplasm of nipple and areola, male...
          • C50.021 Malignant neoplasm of nipple and areola, righ...
          • C50.022 Malignant neoplasm of nipple and areola, left...
          • C50.029 Malignant neoplasm of nipple and areola, unsp...
      • C50.1 Malignant neoplasm of central portion of brea...
        • C50.11 Malignant neoplasm of central portion of brea...
          • C50.111 Malignant neoplasm of central portion of righ...
          • C50.112 Malignant neoplasm of central portion of left...
          • C50.119 Malignant neoplasm of central portion of unsp...
        • C50.12 Malignant neoplasm of central portion of brea...
          • C50.121 Malignant neoplasm of central portion of righ...
          • C50.122 Malignant neoplasm of central portion of left...
          • C50.129 Malignant neoplasm of central portion of unsp...
      • C50.2 Malignant neoplasm of upper-inner quadrant of...
        • C50.21 Malignant neoplasm of upper-inner quadrant of...
          • C50.211 Malignant neoplasm of upper-inner quadrant of...
          • C50.212 Malignant neoplasm of upper-inner quadrant of...
          • C50.219 Malignant neoplasm of upper-inner quadrant of...
        • C50.22 Malignant neoplasm of upper-inner quadrant of...
          • C50.221 Malignant neoplasm of upper-inner quadrant of...
          • C50.222 Malignant neoplasm of upper-inner quadrant of...
          • C50.229 Malignant neoplasm of upper-inner quadrant of...
      • C50.3 Malignant neoplasm of lower-inner quadrant of...
        • C50.31 Malignant neoplasm of lower-inner quadrant of...
          • C50.311 Malignant neoplasm of lower-inner quadrant of...
          • C50.312 Malignant neoplasm of lower-inner quadrant of...
          • C50.319 Malignant neoplasm of lower-inner quadrant of...
        • C50.32 Malignant neoplasm of lower-inner quadrant of...
          • C50.321 Malignant neoplasm of lower-inner quadrant of...
          • C50.322 Malignant neoplasm of lower-inner quadrant of...
          • C50.329 Malignant neoplasm of lower-inner quadrant of...
      • C50.4 Malignant neoplasm of upper-outer quadrant of...
        • C50.41 Malignant neoplasm of upper-outer quadrant of...
          • C50.411 Malignant neoplasm of upper-outer quadrant of...
          • C50.412 Malignant neoplasm of upper-outer quadrant of...
          • C50.419 Malignant neoplasm of upper-outer quadrant of...
        • C50.42 Malignant neoplasm of upper-outer quadrant of...
          • C50.421 Malignant neoplasm of upper-outer quadrant of...
          • C50.422 Malignant neoplasm of upper-outer quadrant of...
          • C50.429 Malignant neoplasm of upper-outer quadrant of...
      • C50.5 Malignant neoplasm of lower-outer quadrant of...
        • C50.51 Malignant neoplasm of lower-outer quadrant of...
          • C50.511 Malignant neoplasm of lower-outer quadrant of...
          • C50.512 Malignant neoplasm of lower-outer quadrant of...
          • C50.519 Malignant neoplasm of lower-outer quadrant of...
        • C50.52 Malignant neoplasm of lower-outer quadrant of...
          • C50.521 Malignant neoplasm of lower-outer quadrant of...
          • C50.522 Malignant neoplasm of lower-outer quadrant of...
          • C50.529 Malignant neoplasm of lower-outer quadrant of...
      • C50.6 Malignant neoplasm of axillary tail of breast...
        • C50.61 Malignant neoplasm of axillary tail of breast...
          • C50.611 Malignant neoplasm of axillary tail of right ...
          • C50.612 Malignant neoplasm of axillary tail of left f...
          • C50.619 Malignant neoplasm of axillary tail of unspec...
        • C50.62 Malignant neoplasm of axillary tail of breast...
          • C50.621 Malignant neoplasm of axillary tail of right ...
          • C50.622 Malignant neoplasm of axillary tail of left m...
          • C50.629 Malignant neoplasm of axillary tail of unspec...
      • C50.8 Malignant neoplasm of overlapping sites of br...
        • C50.81 Malignant neoplasm of overlapping sites of br...
          • C50.811 Malignant neoplasm of overlapping sites of ri...
          • C50.812 Malignant neoplasm of overlapping sites of le...
          • C50.819 Malignant neoplasm of overlapping sites of un...
        • C50.82 Malignant neoplasm of overlapping sites of br...
          • C50.821 Malignant neoplasm of overlapping sites of ri...
          • C50.822 Malignant neoplasm of overlapping sites of le...
          • C50.829 Malignant neoplasm of overlapping sites of un...
      • C50.9 Malignant neoplasm of breast of unspecified s...
        • C50.91 Malignant neoplasm of breast of unspecified s...
          • C50.911 Malignant neoplasm of unspecified site of rig...
          • C50.912 Malignant neoplasm of unspecified site of lef...
          • C50.919 Malignant neoplasm of unspecified site of uns...
        • C50.92 Malignant neoplasm of breast of unspecified s...
          • C50.921 Malignant neoplasm of unspecified site of rig...
          • C50.922 Malignant neoplasm of unspecified site of lef...
          • C50.929 Malignant neoplasm of unspecified site of uns...
    C50.-
The following code(s) above Z85.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z85.3:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2023 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z85
    ICD-10-CM Diagnosis Code Z85

    Personal history of malignant neoplasm

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • any follow-up examination after treatment of malignant neoplasm (Z08)
    Type 2 Excludes
    • personal history of benign neoplasm (Z86.01-)
    • personal history of carcinoma-in-situ (Z86.00-)
    Use Additional
    • code to identify:
    • alcohol use and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Personal history of malignant neoplasm
Approximate Synonyms
  • History of cancer of the breast
  • History of invasive cancer of the breast
  • History of invasive malignant neoplasm of breast
  • History of malignant neoplasm of breast
  • History of malignant phyllodes tumor
  • History of paget's disease of breast
  • History of paget's disease of breast (malignant tumor)
  • History of recurrent cancer of the breast
  • History of recurrent malignant neoplasm of breast
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z85.3 is considered exempt from POA reporting.
ICD-10-CM Z85.3 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 826 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with mcc
  • 827 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with cc
  • 828 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures without cc/mcc
  • 829 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc
  • 830 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc
  • 843 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc
  • 844 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc
  • 845 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc

Convert Z85.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to Z85.3:
  • Use Additional: Z79.81
    ICD-10-CM Diagnosis Code Z79.81

    Long term (current) use of agents affecting estrogen receptors and estrogen levels

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • , if applicable:
    • malignant neoplasm of breast (C50.-)
    • malignant neoplasm of prostate (C61)
    Type 1 Excludes
    • hormone replacement therapy (Z79.890)
    Use Additional
    • code, if applicable, to identify:
    • estrogen receptor positive status (Z17.0)
    • family history of breast cancer (Z80.3)
    • genetic susceptibility to malignant neoplasm (cancer) (Z15.0-)
    • personal history of breast cancer (Z85.3)
    • personal history of prostate cancer (Z85.46)
    • postmenopausal status (Z78.0)

Diagnosis Index entries containing back-references to Z85.3:

ICD-10-CM Codes Adjacent To Z85.3
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Z85.12 Personal history of malignant neoplasm of trachea
Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
Z85.21 Personal history of malignant neoplasm of larynx
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Z85.23 Personal history of malignant neoplasm of thymus
Z85.230 Personal history of malignant carcinoid tumor of thymus
Z85.238 Personal history of other malignant neoplasm of thymus
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Z85.4 Personal history of malignant neoplasm of genital organs
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.