Z85.81 — Personal history of malignant neoplasm of lip, oral cavity, and pharynx

Not billable

Is Z85.81 billable?

No — Z85.81 is a non-billable header code. Z85.81 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath Z85.81.

Billable codes under this header

Z85.810Personal history of malignant neoplasm of tongue
Z85.818Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx

Z85.81 at a glance

Code	Z85.81
Description	Personal history of malignant neoplasm of lip, oral cavity, and pharynx
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Inclusion terms

Alternative wording in documentation that is classified to Z85.81.

Conditions classifiable to C00-C14

Code first — inherited from Z85

The underlying condition below must be sequenced before Z85.81. Z85.81 describes a manifestation and cannot be the principal or first-listed diagnosis.

any follow-up examination after treatment of malignant neoplasm (Z08)

Use additional code — inherited from Z85

Report an additional code alongside Z85.81 to fully describe the condition. Z85.81 is sequenced first.

code to identify:
alcohol use and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Excludes2 — not included here — inherited from Z85

The conditions below are not part of Z85.81, but a patient may have both at the same time. When documentation supports it, Z85.81 and the excluded code may both be reported.

personal history of benign neoplasm (Z86.01-)
personal history of carcinoma-in-situ (Z86.00-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z85.81 is sequenced first depends on the reason for the encounter.

any follow-up examination (Z08-Z09)

What codes fall under Z85.81? (3)

How long has Z85.81 existed?

Z85.81 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.