ICD-10 Z85.038
Billable / SpecificPersonal history of other malignant neoplasm of large intestine
About ICD-10-CM Z85.038
ICD-10-CM code Z85.038 represents Personal history of other malignant neoplasm of large intestine. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z85). The 2026 edition of ICD-10-CM Z85.038 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z85.038. Per CMS ICD-10-CM Tabular 2026.
- Conditions classifiable to C18
Medicare LCD Coverage for Z85.038
Local Coverage Determinations (LCDs) from CMS MACs that list Z85.038 as a covered diagnosis.
Showing top 10 of 1,196 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z85.038.
5 Medicare
CPT Codes Commonly Billed with Z85.038
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45378 Screening colonoscopy — average risk, family history, personal history Gastroenterology
Convert Z85.038 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 |
|---|---|---|
| Z85.038 | V1005 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z85.038
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 Z85.038, Billing FAQ
Is ICD-10 code Z85.038 billable? +
Yes, Z85.038 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 Z85.038? +
ICD-10 Z85.038 includes: Conditions classifiable to C18.
What CPT codes are commonly billed with Z85.038? +
Procedures frequently paired with Z85.038 include: 45378.
What ICD-9 codes does Z85.038 map to? +
Per CMS GEMs, Z85.038 maps to ICD-9 codes: V1005. 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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