ICD-10 Z80.9
Billable / SpecificFamily history of malignant neoplasm, unspecified
About ICD-10-CM Z80.9
ICD-10-CM code Z80.9 represents Family history of malignant neoplasm, unspecified. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z80). The 2026 edition of ICD-10-CM Z80.9 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z80.9. Per CMS ICD-10-CM Tabular 2026.
- Conditions classifiable to C80.1
Medicare LCD Coverage for Z80.9
Local Coverage Determinations (LCDs) from CMS MACs that list Z80.9 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 Z80.9.
1 Aetna
CPT Codes Commonly Billed with Z80.9
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.
Convert Z80.9 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 |
|---|---|---|
| Z80.9 | V169 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z80.9
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 Z80.9, Billing FAQ
Is ICD-10 code Z80.9 billable? +
Yes, Z80.9 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 Z80.9? +
ICD-10 Z80.9 includes: Conditions classifiable to C80.1.
What ICD-9 codes does Z80.9 map to? +
Per CMS GEMs, Z80.9 maps to ICD-9 codes: V169. 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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