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

ICD-10 Z86.012

Billable / Specific

Personal history of benign carcinoid tumor

Z86
Block
0
Synonyms
35
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z86.012

ICD-10-CM code Z86.012 represents Personal history of benign carcinoid tumor. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z86). The 2026 edition of ICD-10-CM Z86.012 became effective on October 1, 2025.

Medicare LCD Coverage for Z86.012

Local Coverage Determinations (LCDs) from CMS MACs that list Z86.012 as a covered diagnosis.

35 LCDs

Showing top 10 of 35 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45341 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45331 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 44392 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45386 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45378 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 44390 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 44394 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45332 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45338 →
CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Article ID: 56394, Effective: 2025-01-01 00:00:00, 319 covered, 0 non-covered
CPT 45342 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z86.012.

1 policies

1 Medicare

Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394

CPT Codes Commonly Billed with Z86.012

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

No procedure linkages on file for Z86.012

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 Z86.012 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z86.012 V1389 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z86.012

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 Z86.012, Billing FAQ

Is ICD-10 code Z86.012 billable? +

Yes, Z86.012 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z86.012 map to? +

Per CMS GEMs, Z86.012 maps to ICD-9 codes: V1389. 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 June 1, 2026.

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