2020 ICD-10-CM Diagnosis Code Z86.000

Personal history of in-situ neoplasm of breast

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z86.000 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z86.000 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z86.000 - other international versions of ICD-10 Z86.000 may differ.
Applicable To
  • Conditions classifiable to
    ICD-10-CM Diagnosis Code D05

    Carcinoma in situ of breast

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • carcinoma in situ of skin of breast (D04.5)
    • melanoma in situ of breast (skin) (D03.5)
    • Paget's disease of breast or nipple (C50.-)
    D05
The following code(s) above Z86.000 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 Z86.000:
  • Z00-Z99
    2020 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
    2020 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
  • Z86
    ICD-10-CM Diagnosis Code Z86

    Personal history of certain other diseases

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • any follow-up examination after treatment (Z09)
    Personal history of certain other diseases
  • Z86.0
    ICD-10-CM Diagnosis Code Z86.0

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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • personal history of malignant neoplasms (Z85.-)
    Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
  • Z86.00
    ICD-10-CM Diagnosis Code Z86.00

    Personal history of in-situ neoplasm

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    Personal history of in-situ neoplasm
Approximate Synonyms
  • History of breast cancer in situ
  • History of breast carcinoma in situ
  • History of cancer of the breast (which has not spread)
  • History of cancer of the breast ducts (which has not spread)
  • History of cancer of the breast lobules (which has not spread)
  • History of carcinoma in-situ of breast
  • History of ductal carcinoma in situ
  • History of ductal carcinoma in situ of breast
  • History of ductal carcinoma in situ of the breast
  • History of lobular carcinoma in situ
  • History of of breast carcinoma in situ
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.
  • Z86.000 is considered exempt from POA reporting.
ICD-10-CM Z86.000 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z86.000 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

Diagnosis Index entries containing back-references to Z86.000:

ICD-10-CM Codes Adjacent To Z86.000
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.85 Personal history of malignant neoplasm of endocrine glands
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
Z85.9 Personal history of malignant neoplasm, unspecified
Z86 Personal history of certain other diseases
Z86.0 Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
Z86.00 Personal history of in-situ neoplasm
Z86.000 …… of breast
Z86.001 …… of cervix uteri
Z86.002 …… of other and unspecified genital organs
Z86.003 …… of oral cavity, esophagus and stomach
Z86.004 …… of other and unspecified digestive organs
Z86.005 …… of middle ear and respiratory system
Z86.006 Personal history of melanoma in-situ
Z86.007 …… of skin
Z86.008 …… of other site
Z86.01 Personal history of benign neoplasm
Z86.010 Personal history of colonic polyps

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