ICD-10 Z86.0101
Billable / SpecificPersonal history of adenomatous and serrated colon polyps
About ICD-10-CM Z86.0101
ICD-10-CM code Z86.0101 represents Personal history of adenomatous and serrated colon polyps. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z86). The 2026 edition of ICD-10-CM Z86.0101 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z86.0101. Per CMS ICD-10-CM Tabular 2026.
- Personal history of tubular adenoma polyps
- Personal history of sessile adenomatous colon polyp
- Personal history of sessile serrated colon polyp
- Personal history of tubulovillous adenoma polyps
- Personal history of villous adenoma polyps
- Personal history of traditional serrated adenoma polyps
Medicare LCD Coverage for Z86.0101
Local Coverage Determinations (LCDs) from CMS MACs that list Z86.0101 as a covered diagnosis.
Showing top 10 of 464 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z86.0101.
5 Medicare
CPT Codes Commonly Billed with Z86.0101
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.
Codes Adjacent To Z86.0101
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 Z86.0101, Billing FAQ
Is ICD-10 code Z86.0101 billable? +
Yes, Z86.0101 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 Z86.0101? +
ICD-10 Z86.0101 includes: Personal history of tubular adenoma polyps; Personal history of sessile adenomatous colon polyp; Personal history of sessile serrated colon polyp, and 3 more clinical synonyms.
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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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