ICD-10 Z15.068
Billable / SpecificGenetic susceptibility to other malignant neoplasm of digestive system
About ICD-10-CM Z15.068
ICD-10-CM code Z15.068 represents Genetic susceptibility to other malignant neoplasm of digestive system. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z15). The 2026 edition of ICD-10-CM Z15.068 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z15.068. Per CMS ICD-10-CM Tabular 2026.
- Genetic susceptibility to biliary tract cancer
- Genetic susceptibility to gastric cancer
- Genetic susceptibility to pancreatic cancer
- Genetic susceptibility to small bowel cancer
Medicare LCD Coverage for Z15.068
Local Coverage Determinations (LCDs) from CMS MACs that list Z15.068 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z15.068.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z15.068 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z15.068
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z15.068
Other codes in section Z14-Z15 (Genetic carrier and genetic susceptibility to disease).
ICD-10 Z15.068, Billing FAQ
Is ICD-10 code Z15.068 billable? +
Yes, Z15.068 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to Z15.068? +
ICD-10 Z15.068 includes: Genetic susceptibility to biliary tract cancer; Genetic susceptibility to gastric cancer; Genetic susceptibility to pancreatic cancer, and 1 more clinical synonyms.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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