2026 ICD-10-CM Diagnosis Code Z85.42Personal history of malignant neoplasm of other parts of uterus
Z85.42 is a billable ICD-10-CM diagnosis code for personal history of malignant neoplasm of other parts of uterus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 826 through 830, 843 through 845. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as history of malignant neoplasm of endometrium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of malignant neoplasm.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z85.42.
Present on Admission (POA)Billing
Z85.42 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- History of malignant neoplasm of endometrium
- History of malignant neoplasm of uterine adnexa
- History of malignant neoplasm of uterine body
- History of primary malignant neoplasm of female genital organ
- History of stromal sarcoma of endometrium
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- History
- personal (of) - See Also: History, family (of);
- malignant neoplasm (of) - Z85.9
- uterus - Z85.42
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- History
- personal (of)
- malignant neoplasm (of)
- uterus
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Uterine Cancer
Uterine cancer is a cancer that forms in tissues of the uterus, which is sometimes called the womb. The uterus is the place where a fetus grows during pregnancy.
The full article covers:
- What is uterine cancer?
- Who is more likely to develop uterine cancer?
- What are the symptoms of uterine cancer?
- How is uterine cancer diagnosed?
- What are the treatments for uterine cancer?
- Can uterine cancer be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z85.42 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z85.42Overview
Is Z85.42 (Personal history of malignant neoplasm of genital organs) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of malignant neoplasm of other parts of uterus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does Z85.42 group to?
On inpatient claims, personal history of malignant neoplasm of other parts of uterus maps to MS-DRG 826, 827, 828, 829, 830, 843, 844, 845, with relative weights from 0.8516 to 4.6778 depending on complications. Higher weights mean higher Medicare reimbursement.
Can Z85.42 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of malignant neoplasm of other parts of uterus describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z85.42 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 personal history of malignant neoplasm of other parts of uterus on inpatient claims.
What is the ICD-9 equivalent of Z85.42?
Under the General Equivalence Mappings, personal history of malignant neoplasm of other parts of uterus converts to ICD-9-CM V10.42 (hx-uterus malignancy NEC). The mapping is a direct match.
