ICD-10 · PDGM grouping
Z85 Personal history of malignant neoplasm
All 60 codes in the Z85 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
60
Can lead a claim
0
Cannot lead a claim
60
What CMS assigns to Z85
None of the 60 codes is assigned a clinical group. None of the 60 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 60.
Code first
CMS grouper convention 177, on all 60 codes. Code first:
- any follow-up examination after treatment of malignant neoplasm (Z08)
Every code in Z85
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z85.0 Personal history of malignant neoplasm of digestive organs | ||||
| Z85.00 | Personal history of malignant neoplasm of unspecified digestive organCMS: Personal history of malignant neoplasm of unsp dgstv org | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.01 | Personal history of malignant neoplasm of esophagus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.02 Personal history of malignant neoplasm of stomach | ||||
| Z85.020 | Personal history of malignant carcinoid tumor of stomach | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.028 | Personal history of other malignant neoplasm of stomach | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.03 Personal history of malignant neoplasm of large intestine | ||||
| Z85.030 | Personal history of malignant carcinoid tumor of large intestineCMS: Personal history of malignant carcinoid tumor of lg int | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.038 | Personal history of other malignant neoplasm of large intestineCMS: Personal history of malignant neoplasm of large intestine | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.04 Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | ||||
| Z85.040 | Personal history of malignant carcinoid tumor of rectum | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.048 | Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anusCMS: Prsnl hx of malig neoplm of rectum, rectosig junct, and anus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.05 | Personal history of malignant neoplasm of liver | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.06 Personal history of malignant neoplasm of small intestine | ||||
| Z85.060 | Personal history of malignant carcinoid tumor of small intestineCMS: Personal history of malignant carcinoid tumor of sm int | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.068 | Personal history of other malignant neoplasm of small intestineCMS: Personal history of malignant neoplasm of small intestine | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.07 | Personal history of malignant neoplasm of pancreas | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.09 | Personal history of malignant neoplasm of other digestive organsCMS: Personal history of malignant neoplasm of digestive organs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung | ||||
| Z85.11 Personal history of malignant neoplasm of bronchus and lung | ||||
| Z85.110 | Personal history of malignant carcinoid tumor of bronchus and lungCMS: Personal history of malig carcinoid tumor of bronc and lung | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.118 | Personal history of other malignant neoplasm of bronchus and lungCMS: Personal history of malignant neoplasm of bronchus and lung | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.12 | Personal history of malignant neoplasm of trachea | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs | ||||
| Z85.20 | Personal history of malignant neoplasm of unspecified respiratory organCMS: Personal history of malignant neoplasm of unsp resp organ | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.21 | Personal history of malignant neoplasm of larynx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.22 | Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinusesCMS: Prsnl hx of malig neoplm of nasl cav, mid ear, & acces sinus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.23 Personal history of malignant neoplasm of thymus | ||||
| Z85.230 | Personal history of malignant carcinoid tumor of thymus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.238 | Personal history of other malignant neoplasm of thymus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.29 | Personal history of malignant neoplasm of other respiratory and intrathoracic organsCMS: Prsnl history of malig neoplm of resp and intrathorac organs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.3 | Personal history of malignant neoplasm of breast | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.4 Personal history of malignant neoplasm of genital organs | ||||
| Z85.40 | Personal history of malignant neoplasm of unspecified female genital organCMS: Prsnl history of malig neoplm of unsp female genital organ | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.41 | Personal history of malignant neoplasm of cervix uteri | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.42 | Personal history of malignant neoplasm of other parts of uterusCMS: Personal history of malignant neoplasm of oth prt uterus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.43 | Personal history of malignant neoplasm of ovary | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.44 | Personal history of malignant neoplasm of other female genital organsCMS: Personal history of malig neoplasm of female genital organs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.45 | Personal history of malignant neoplasm of unspecified male genital organCMS: Personal history of malig neoplm of unsp male genital organ | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.46 | Personal history of malignant neoplasm of prostate | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.47 | Personal history of malignant neoplasm of testis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.48 | Personal history of malignant neoplasm of epididymis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.49 | Personal history of malignant neoplasm of other male genital organsCMS: Personal history of malig neoplasm of male genital organs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.4A | Personal history of malignant neoplasm of fallopian tube(s) | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z85.5 Personal history of malignant neoplasm of urinary tract | ||||
| Z85.50 | Personal history of malignant neoplasm of unspecified urinary tract organCMS: Personal history of malig neoplm of unsp urinary tract organ | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.51 | Personal history of malignant neoplasm of bladder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.52 Personal history of malignant neoplasm of kidney | ||||
| Z85.520 | Personal history of malignant carcinoid tumor of kidney | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.528 | Personal history of other malignant neoplasm of kidney | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.53 | Personal history of malignant neoplasm of renal pelvis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.54 | Personal history of malignant neoplasm of ureter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.59 | Personal history of malignant neoplasm of other urinary tract organCMS: Personal history of malig neoplasm of urinary tract organ | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.6 | Personal history of leukemia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.7 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues | ||||
| Z85.71 | Personal history of Hodgkin lymphoma | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.72 | Personal history of non-Hodgkin lymphomas | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.79 | Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissuesCMS: Prsnl hx of malig neoplm of lymphoid, hematpoetc & rel tiss | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.8 Personal history of malignant neoplasms of other organs and systems | ||||
| Z85.81 Personal history of malignant neoplasm of lip, oral cavity, and pharynx | ||||
| Z85.810 | Personal history of malignant neoplasm of tongue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.818 | Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynxCMS: Prsnl hx of malig neoplm of site of lip, oral cav, & pharynx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.819 | Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynxCMS: Prsnl hx of malig neoplm of unsp site lip,oral cav,& pharynx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.82 Personal history of malignant neoplasm of skin | ||||
| Z85.820 | Personal history of malignant melanoma of skin | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.821 | Personal history of Merkel cell carcinoma | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.828 | Personal history of other malignant neoplasm of skin | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.83 Personal history of malignant neoplasm of bone and soft tissue | ||||
| Z85.830 | Personal history of malignant neoplasm of bone | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.831 | Personal history of malignant neoplasm of soft tissue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.84 Personal history of malignant neoplasm of eye and nervous tissue | ||||
| Z85.840 | Personal history of malignant neoplasm of eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.841 | Personal history of malignant neoplasm of brain | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.848 | Personal history of malignant neoplasm of other parts of nervous tissueCMS: Personal history of malignant neoplasm of prt nervous tissue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.85 Personal history of malignant neoplasm of endocrine glands | ||||
| Z85.850 | Personal history of malignant neoplasm of thyroid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.858 | Personal history of malignant neoplasm of other endocrine glandsCMS: Personal history of malignant neoplasm of endocrine glands | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.89 | Personal history of malignant neoplasm of other organs and systemsCMS: Personal history of malignant neoplasm of organs and systems | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z85.9 | Personal history of malignant neoplasm, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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