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    v1.0.28
    OpenPayerBilling CodesPersons with potential health hazards related to family and personal history and certain conditions influencing health statusICD-10-CM z86-personal-history-of-certain-diseases
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    ICD-10-CM Code For Personal History Of Certain Other Diseases: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Z86 includes codes for personal history of specified diseases such as prior infections, neoplasms, and other conditions that may have ongoing implications for a patient’s health. These ICD-10-CM diagnosis codes are used to document historical disease states that affect current care, capturing the clinical context, potential sequelae, or risk factors relevant to ongoing management. Accurate coding within the ICD-10-CM Z86 group supports complete clinical documentation, proper claim adjudication, and appropriate reimbursement.

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    ICD-10-CM Z86: Personal History Of Certain Other Diseases Overview

    This group documents personal history of diseases that may influence current care, including prior infections, neoplasms, and organ-specific conditions. The codes target prior disease states rather than active conditions and span multiple body systems depending on the historical diagnosis. Accurate coding matters for clinical context, risk adjustment, and reimbursement because history codes inform ongoing management and payment determinations.

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    When to Use

    Use a code from this group when a documented past diagnosis or resolved condition is relevant to the patient’s current care, treatment decisions, or risk assessment. Do not use these codes to report active disease; select Z86 only when the condition is historical and not currently treated as active disease.

    ICD-10-CM Codes

    39 rows

    ICD-10-CM CodeDescription
    Z86.000Personal history of in-situ neoplasm of breast
    Z86.001Personal history of in-situ neoplasm of cervix uteri
    Z86.002Personal history of in-situ neoplasm of other and unspecified genital organs
    Z86.003Personal history of in-situ neoplasm of oral cavity, esophagus and stomach
    Z86.004Personal history of in-situ neoplasm of other and unspecified digestive organs
    Z86.005Personal history of in-situ neoplasm of middle ear and respiratory system
    Z86.006Personal history of melanoma in-situ
    Z86.007Personal history of in-situ neoplasm of skin
    Z86.008Personal history of in-situ neoplasm of other site
    Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)
    Z86.0100Personal history of colon polyps, unspecified
    Z86.0101Personal history of adenomatous and serrated colon polyps
    Z86.0102Personal history of hyperplastic colon polyps
    Z86.0109Personal history of other colon polyps
    Z86.011Personal history of benign neoplasm of the brain
    Z86.012Personal history of benign carcinoid tumor
    Z86.018Personal history of other benign neoplasm
    Z86.03Personal history of neoplasm of uncertain behavior
    Z86.11Personal history of tuberculosis
    Z86.12Personal history of poliomyelitis

    Showing 1–20 of 39

    DRG Codes

    1 rows

    DRG CodeDescription
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • An adult patient presents to primary care for routine follow‑up after completing treatment for localized breast cancer two years ago; there are no current signs of active malignancy but the visit focuses on survivorship planning and surveillance. A code from this group documents the personal history of the prior malignancy to flag increased risk and guide screening and care coordination. Typical codes: Z86.0101, Z86.018
    • An elderly patient arrives at the emergency department after a fall; during medication reconciliation and chart review clinicians note a prior myocardial infarction five years earlier and a history of coronary artery disease without recent acute ischemia. The prior MI is relevant to acute management and risk stratification, so a personal history code for old myocardial infarction or ischemic heart disease is recorded in the encounter. Typical codes: Z86.73, Z86.72
    • A middle‑aged person seeks preventive cardiology consultation because they previously had a pulmonary embolism and completed anticoagulation six months ago; current evaluation addresses long‑term risk and need for surveillance or extended therapy. The visit documents the resolved thromboembolic event as a personal history to inform ongoing decisions and future care. Typical codes: Z86.711, Z86.718}

    Related Codes

    Z77-OTHER-CONTACT-WITH-EXPOSURES

    ICD-10-CM Code For Other Contact With And Suspected Exposures Hazardous To Health: Group Overview

    Z78-OTHER-SPECIFIED-HEALTH-STATUS

    ICD-10-CM Code For Other Specified Health Status: Group Overview

    Z79-LONG-TERM-DRUG-THERAPY

    ICD-10-CM Code For Long Term Current Drug Therapy: Group Overview

    Z80-FAMILY-HISTORY-OF-CANCER

    ICD-10-CM Code For Family History Of Primary Malignant Neoplasm: Group Overview

    Z81-FAMILY-HISTORY-OF-MENTAL-DISORDERS

    ICD-10-CM Code For Family History Of Mental And Behavioral Disorders: Group Overview

    Z82-FAMILY-HISTORY-OF-DISABILITIES

    ICD-10-CM Code For Family History Of Certain Disabilities And Chronic Diseases: Group Overview

    Z83-FAMILY-HISTORY-OF-OTHER-SPECIFIC-DISORDERS

    ICD-10-CM Code For Family History Of Other Specific Disorders: Group Overview

    Z84-FAMILY-HISTORY-OTHER-CONDITIONS

    ICD-10-CM Code For Family History Of Other Conditions: Group Overview

    Z85-PERSONAL-HISTORY-OF-MALIGNANT-NEOPLASM

    ICD-10-CM Code For Personal History Of Malignant Neoplasm: Group Overview

    Z87-PERSONAL-HISTORY-OF-OTHER-DISEASES

    ICD-10-CM Code For Personal History Of Other Diseases And Conditions: Group Overview

    Showing 1–10 of 22

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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