2026 ICD-10-CM Diagnosis Code Z86.011Personal history of benign neoplasm of the brain

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z86

ICD-10-CM Z86.011
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z86.011 is a billable ICD-10-CM diagnosis code for personal history of benign neoplasm of the brain. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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 benign meningioma of brain. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z86.011
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of benign neoplasm of the brain
Short Description
Personal history of benign neoplasm of the brain
Same as the full description in the CMS dataset.
Parent Code
Z86.010
Personal history of colon polyps

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ86Personal history of certain other diseases
This CodeZ86.011Personal history of benign neoplasm of the brain

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z86.011.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z86.011 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 benign meningioma of brain
  • History of benign neoplasm of brain
  • History of cerebellar meningioma
  • History of cerebral meningioma
  • History of meningioma
  • History of neoplasm of pituitary gland
  • History of pituitary adenoma
  • History of prolactinoma

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • History
      • personal (of)
        • benign neoplasm
          • brain
    • History
      • personal (of)
        • neoplasm
          • benign
            • brain

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC030
Personal history of other disease
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Benign Tumors

Tumors are abnormal growths in your body. They can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. Benign tumors grow only in one place. They cannot spread or invade other parts of your body. Even so, they can be dangerous if they press on vital organs, such as your brain.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z86.011 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V12.41 Hx benign neoplasm brain
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z86.011Overview

Is Z86.011 (Personal history of colon polyps) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of benign neoplasm of the brain on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z86.011 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of benign neoplasm of the brain describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z86.011 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 benign neoplasm of the brain on inpatient claims.

What is the ICD-9 equivalent of Z86.011?

Under the General Equivalence Mappings, personal history of benign neoplasm of the brain converts to ICD-9-CM V12.41 (hx benign neoplasm brain). The mapping is a direct match.