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

ICD-10 Z86.00A

Billable / Specific

Personal history of in-situ neoplasm of the fallopian tube(s)

Z86
Block
0
Synonyms
230
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM Z86.00A

ICD-10-CM code Z86.00A represents Personal history of in-situ neoplasm of the fallopian tube(s). This is a billable/specific code in the Factors Influencing Health Status chapter (block Z86). The 2026 edition of ICD-10-CM Z86.00A became effective on October 1, 2025.

Medicare LCD Coverage for Z86.00A

Local Coverage Determinations (LCDs) from CMS MACs that list Z86.00A as a covered diagnosis.

230 LCDs

Showing top 10 of 230 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81215 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81300 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81351 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81167 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81405 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 0103U →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81201 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81297 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81298 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81299 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z86.00A.

10 policies

1 Cigna

Preventive Care Services - (A004)
Policy ID: AD_A004

5 Medicare

Billing and Coding: Bevacizumab and biosimilars
Policy ID: ART-52370
Billing and Coding: BRCA1 and BRCA2 Genetic Testing
Policy ID: ART-56542
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: BRCA1 and BRCA2 Genetic Testing
Policy ID: ART-57449
Billing and Coding: Genetic Testing for Lynch Syndrome
Policy ID: ART-57450

CPT Codes Commonly Billed with Z86.00A

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

No procedure linkages on file for Z86.00A

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.

Codes Adjacent To Z86.00A

Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).

Z77 Other contact with and (suspected) exposures hazardous to health (non-billable) Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.01 Contact with and (suspected) exposure to hazardous metals (non-billable) Z77.010 Contact with and (suspected) exposure to arsenic Z77.011 Contact with and (suspected) exposure to lead Z77.012 Contact with and (suspected) exposure to uranium Z77.018 Contact with and (suspected) exposure to other hazardous metals Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds (non-billable) Z77.020 Contact with and (suspected) exposure to aromatic amines Z77.021 Contact with and (suspected) exposure to benzene Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.090 Contact with and (suspected) exposure to asbestos Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment (non-billable) Z77.11 Contact with and (suspected) exposure to environmental pollution (non-billable) Z77.110 Contact with and (suspected) exposure to air pollution Z77.111 Contact with and (suspected) exposure to water pollution Z77.112 Contact with and (suspected) exposure to soil pollution Z77.118 Contact with and (suspected) exposure to other environmental pollution

ICD-10 Z86.00A, Billing FAQ

Is ICD-10 code Z86.00A billable? +

Yes, Z86.00A is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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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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