2020 ICD-10-CM Diagnosis Code Z86.003

Personal history of in-situ neoplasm of oral cavity, esophagus and stomach

    2020 - New Code Billable/Specific Code POA Exempt
  • Z86.003 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Pers hx of in-situ neoplm of oral cavity, esoph and stomach
  • ICD-10-CM Z86.003 is a new 2020 ICD-10-CM code that became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z86.003 - other international versions of ICD-10 Z86.003 may differ.
Applicable To
  • Conditions classifiable to
    ICD-10-CM Diagnosis Code D00

    Carcinoma in situ of oral cavity, esophagus and stomach

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    D00
The following code(s) above Z86.003 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 Z86.003:
  • 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
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.
  • Z86.003 is considered exempt from POA reporting.
ICD-10-CM Z86.003 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status
Code History
  • 2020 (effective 10/1/2019): New code

Diagnosis Index entries containing back-references to Z86.003:

ICD-10-CM Codes Adjacent To Z86.003
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
Z86.011 …… of the brain
Z86.012 Personal history of benign carcinoid tumor
Z86.018 Personal history of other benign neoplasm

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