ICD-10 Z80.0
Billable / SpecificFamily history of malignant neoplasm of digestive organs
About ICD-10-CM Z80.0
ICD-10-CM code Z80.0 represents Family history of malignant neoplasm of digestive organs. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z80). The 2026 edition of ICD-10-CM Z80.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z80.0. Per CMS ICD-10-CM Tabular 2026.
- Conditions classifiable to C15-C26
Medicare LCD Coverage for Z80.0
Local Coverage Determinations (LCDs) from CMS MACs that list Z80.0 as a covered diagnosis.
Showing top 10 of 62 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z80.0.
2 Cigna
3 Medicare
2 Aetna
CPT Codes Commonly Billed with Z80.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45378 Screening colonoscopy — average risk, family history, personal history Gastroenterology
- 45378 Diagnostic colonoscopy — colorectal screening, family hx colon cancer, polyp, melena, iron def anemia, diverticulosis, ulcerative colitis, Crohn, occult blood, rectal polyp, weight loss, IBS Gastroenterology
- 45385 Colonoscopy with polypectomy snare — colon polyps all sites, screening, personal/family hx polyps/cancer Gastroenterology
- G0105 CMS LCD: Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy CMS LCD
- G2204 CMS LCD: Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy CMS LCD
- G0121 CMS LCD: Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy CMS LCD
Convert Z80.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z80.0 | V160 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z80.0
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z80.0, Billing FAQ
Is ICD-10 code Z80.0 billable? +
Yes, Z80.0 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 Z80.0? +
ICD-10 Z80.0 includes: Conditions classifiable to C15-C26.
What CPT codes are commonly billed with Z80.0? +
Procedures frequently paired with Z80.0 include: 45378, 45378, 45385, G0105, G2204.
What ICD-9 codes does Z80.0 map to? +
Per CMS GEMs, Z80.0 maps to ICD-9 codes: V160. 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 June 1, 2026.
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