ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z15.81

Billable / Specific

Genetic susceptibility to multiple endocrine neoplasia [MEN]

Z15
Block
0
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z15.81

ICD-10-CM code Z15.81 represents Genetic susceptibility to multiple endocrine neoplasia [MEN]. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z15). The 2026 edition of ICD-10-CM Z15.81 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z15.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • multiple endocrine neoplasia [MEN] syndromes (E31.2-)

Medicare LCD Coverage for Z15.81

Local Coverage Determinations (LCDs) from CMS MACs that list Z15.81 as a covered diagnosis.

No Medicare LCDs reference Z15.81 as covered

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 Z15.81.

1 policies

1 Aetna

Genetic Counseling
Policy ID: CPB-0189

CPT Codes Commonly Billed with Z15.81

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z15.81

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.

Convert Z15.81 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z15.81 V8481 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Z15.81, Billing FAQ

Is ICD-10 code Z15.81 billable? +

Yes, Z15.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for Z15.81? +

Type 1 Excludes (never code together with Z15.81): multiple endocrine neoplasia [MEN] syndromes (E31.2-)

What ICD-9 codes does Z15.81 map to? +

Per CMS GEMs, Z15.81 maps to ICD-9 codes: V8481. Useful for legacy data review and historical claim analysis.

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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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