2027 ICD-10-CM Diagnosis Code Z86.018Personal history of other benign neoplasm
Z86.018 is a billable ICD-10-CM diagnosis code for personal history of other benign neoplasm. 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 Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z86.018.
Present on Admission (POA)Billing
Z86.018 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.
- H/O lower GIT neoplasm
- H/O upper GIT neoplasm
- History of acoustic neuroma
- History of adrenal adenoma
- History of atrial myxoma
- History of atypical nevus
- History of benign mandibular ameloblastoma
- History of benign neoplasm of bone
- History of benign neoplasm of eye
- History of benign neoplasm of heart
- History of benign neoplasm of larynx
- History of benign neoplasm of salivary gland
- History of benign neoplasm of small intestine
- History of benign neoplasm of spinal cord
- History of benign phyllodes neoplasm of breast
- History of benign schwannoma
- History of inverted papilloma
- History of leiomyoma of stomach
- History of lipoma
- History of meningioma
- History of myxoma
- History of odontogenic keratocyst
- History of pheochromocytoma
- History of pleomorphic adenoma of salivary gland
- History of sebaceous adenoma
- History of villous adenoma of duodenum
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z86.018: its own notes plus those printed at Z86.0, Z86, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
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 Z86.018, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming Z86.018: its condition is not part of those codes, and both may be reported when the patient has both.
Use Additional Code 1
These codes say to use an additional code from the note, and Z86.018 is one of the codes named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
personal (of) See Also: History, family (of);
benign neoplasm Z86.018
benign Z86.018
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 Z86.018 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z86.018Overview
What is the ICD-10 code for personal history of other benign neoplasm?
The ICD-10-CM code for personal history of other benign neoplasm is Z86.018 (sometimes written as Z86018). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z86.018 (Personal history of benign neoplasm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of other benign neoplasm on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z86.018 group to?
On inpatient claims, personal history of other benign neoplasm 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 Z86.018 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of other benign neoplasm describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z86.018 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 other benign neoplasm 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.
