2027 ICD-10-CM Diagnosis Code Z80.0Family history of malignant neoplasm of digestive organs
Z80.0 is a billable ICD-10-CM diagnosis code for family history of malignant neoplasm of digestive organs. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Family history of disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z80.0.
Present on Admission (POA)Billing
Z80.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Family history of cancer of colon
- Family history of cancer of the esophagus
- Family history of carcinoma of esophagus
- Family history of colorectal cancer
- Family history of disorder of pancreas
- Family history of hepatoma
- Family history of hereditary diffuse gastric cancer
- Family history of hereditary nonpolyposis colon cancer
- Family history of malignant epithelial neoplasm
- Family history of malignant neoplasm of biliary tract
- Family history of malignant neoplasm of colon over age 50
- Family history of malignant neoplasm of digestive organ
- Family history of malignant neoplasm of gastrointestinal tract
- Family history of malignant neoplasm of ileum
- Family history of malignant neoplasm of liver
- Family history of malignant neoplasm of pancreas
- Family history of malignant neoplasm of pharynx
- Family history of malignant tumor of rectum
- Family history of neoplasm of upper aerodigestive tract
- FH: Biliary disease
- FH: Bowel cancer
- FH: Liver disease
- FH: Stomach cancer
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z80.0: its own notes plus those printed at block Z77-Z99 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z80.0, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming Z80.0: its condition is not part of those codes, and both may be reported when the patient has both.
- Z83.71 Family history of colonic polypsfamily history of malignant neoplasm of digestive organs (Z80.0)
Use Additional Code 2
These codes say to use an additional code from the note, and Z80.0 is one of the codes named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
family (of) See Also: History, personal (of);
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Cancer
Cancer is not just one disease but many diseases. Cancer begins in your cells, which are the building blocks of your body. Usually, your body forms new cells as needed, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should.
The full article covers:
- What is cancer?
- What are the types of cancer?
- How does cancer develop?
- What are the symptoms of cancer?
- How is cancer diagnosed?
- What are the treatments for cancer?
- Can cancer be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z80.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z80.0Overview
What is the ICD-10 code for family history of malignant neoplasm of digestive organs?
The ICD-10-CM code for family history of malignant neoplasm of digestive organs is Z80.0 (sometimes written as Z800). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z80.0 (Family history of primary malignant neoplasm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report family history of malignant neoplasm of digestive organs on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z80.0 group to?
On inpatient claims, family history of malignant neoplasm of digestive organs maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z80.0 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because family history of malignant neoplasm of digestive organs describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z80.0 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for family history of malignant neoplasm of digestive organs on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.
