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

ICD-10 Z17.0

Billable / Specific

Estrogen receptor positive status [ER+]

Z17
Block
0
Synonyms
559
LCDs
20
Payer Policies
0
Linked CPTs

About ICD-10-CM Z17.0

ICD-10-CM code Z17.0 represents Estrogen receptor positive status [ER+]. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z17). The 2026 edition of ICD-10-CM Z17.0 became effective on October 1, 2025.

Medicare LCD Coverage for Z17.0

Local Coverage Determinations (LCDs) from CMS MACs that list Z17.0 as a covered diagnosis.

559 LCDs

Showing top 10 of 559 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: MammaPrint
Article ID: 54194, Effective: 2023-11-22 00:00:00, 36 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: MammaPrint
Article ID: 54194, Effective: 2023-11-22 00:00:00, 36 covered, 0 non-covered
CPT 81521 →
CMS LCD: Billing and Coding: MolDX: MammaPrint
Article ID: 54194, Effective: 2023-11-22 00:00:00, 36 covered, 0 non-covered
CPT 81523 →
CMS LCD: Billing and Coding: MolDX: Breast Cancer Index� (BCI) Gene Expression Test
Article ID: 56335, Effective: 2025-05-01 00:00:00, 17 covered, 0 non-covered
CPT 81518 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT 76145 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT 19294 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT 77424 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT C9726 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT 77425 →
CMS LCD: Billing and Coding: Intraoperative Radiation Therapy
Article ID: 56684, Effective: 2025-10-01 00:00:00, 58 covered, 0 non-covered
CPT 77469 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z17.0.

20 policies

5 Medicare

Billing and Coding: MolDX: MammaPrint
Policy ID: ART-53104
Billing and Coding: MolDX: Oncotype DX� Breast Cancer Assay
Policy ID: ART-53105
Billing and Coding: MolDX: PIK3CA Gene Tests
Policy ID: ART-53558
Billing and Coding: MolDX: MammaPrint
Policy ID: ART-54194
Billing and Coding: MolDX: Oncotype DX� Breast Cancer Assay
Policy ID: ART-54195

CPT Codes Commonly Billed with Z17.0

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

No procedure linkages on file for Z17.0

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 Z17.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z17.0 V860 10000

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

ICD-10 Z17.0, Billing FAQ

Is ICD-10 code Z17.0 billable? +

Yes, Z17.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z17.0 map to? +

Per CMS GEMs, Z17.0 maps to ICD-9 codes: V860. 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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