ICD-10 Z85.040
Billable / SpecificPersonal history of malignant carcinoid tumor of rectum
About ICD-10-CM Z85.040
ICD-10-CM code Z85.040 represents Personal history of malignant carcinoid tumor of rectum. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z85). The 2026 edition of ICD-10-CM Z85.040 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z85.040. Per CMS ICD-10-CM Tabular 2026.
- Conditions classifiable to C7A.026
Medicare LCD Coverage for Z85.040
Local Coverage Determinations (LCDs) from CMS MACs that list Z85.040 as a covered diagnosis.
Showing top 10 of 561 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z85.040.
5 Medicare
CPT Codes Commonly Billed with Z85.040
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 Z85.040 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 |
|---|---|---|
| Z85.040 | V1091 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z85.040
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 Z85.040, Billing FAQ
Is ICD-10 code Z85.040 billable? +
Yes, Z85.040 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 Z85.040? +
ICD-10 Z85.040 includes: Conditions classifiable to C7A.026.
What ICD-9 codes does Z85.040 map to? +
Per CMS GEMs, Z85.040 maps to ICD-9 codes: V1091. 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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