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Home/Diagnosis/ICD-10 Coding for Personal History of Breast Cancer

ICD-10 Coding for Personal History of Breast Cancer

Z85.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for personal history of breast cancer includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
History of Breast Cancer
Breast Cancer in Remission
Post-Treatment Breast Cancer
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Key Information: ICD-10 Coding for Personal History of Breast Cancer

Essential facts and insights about ICD-10 Coding for Personal History of Breast Cancer

Use ICD-10 code Z85.3 for personal history of malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Personal history of malignant neoplasm of breast

Billable Code
Z85.3
Billable

Diagnostic Criteria

clinical:
  • • Patient has completed all cancer treatments and is in remission.
coding:
  • • Code should not be used as a principal diagnosis.
documentation:
  • • Documentation must clearly state 'history of breast cancer' with no active treatment.

Applicable To

  • • History of invasive breast cancer
  • • History of ductal carcinoma in situ (DCIS)
  • • History of lobular carcinoma in situ (LCIS)

Important Notes

  • • Ensure documentation specifies 'history of' to avoid coding as active cancer.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z08

Encounter for follow-up examination after completed treatment for malignant neoplasm

Use for follow-up visits after cancer treatment.

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use for routine screening mammograms in patients with a history of breast cancer.

Frequently Asked Questions

What is the ICD-10 code for personal history of breast cancer?

The ICD-10 code for personal history of breast cancer is Z85.3, used for patients who have completed treatment and are in remission.

When should Z85.3 be used?

Use Z85.3 when a patient has a history of breast cancer, has completed treatment, and there is no evidence of active disease.

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