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

ICD-10-CM 2027 diagnosis code · Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Non-billable header

ICD-10-CM code Z85.81
Code
Z85.81 (claims format: Z8581)
Description
Personal history of malignant neoplasm of lip, oral cavity, and pharynx
Short description
Prsnl hx of malig neoplm of lip, oral cavity, and pharynx
Billable
No – use a more specific code below
Valid for
Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter
21. Factors influencing health status and contact with health services (Z00-Z99)
Block
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Parent codes
Z85 › Z85.8

Billable codes under Z85.81

Z85.81 is a header code and cannot be used on claims. Choose the most specific code:

Notes for Z85.81

Applicable to:
  • Conditions classifiable to C00-C14

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

Z85 – Personal history of malignant neoplasm

Excludes2 (not included here):
  • personal history of benign neoplasm (Z86.01-)
  • personal history of carcinoma-in-situ (Z86.00-)
Code first:
  • any follow-up examination after treatment of malignant neoplasm (Z08)
Use additional code:
  • 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)

Z85.8 – Personal history of malignant neoplasms of other organs and systems

Applicable to:

Block Z77-Z99

Code also:
  • any follow-up examination (Z08-Z09)

Related codes in Z85.8

Frequently asked questions

What is ICD-10 code Z85.81?

Z85.81 is the ICD-10-CM code for personal history of malignant neoplasm of lip, oral cavity, and pharynx, in the block Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).

Is Z85.81 a billable code?

No. Z85.81 is a header code with more specific child codes; report one of the billable codes listed above.

What category does Z85.81 belong to?

It belongs to category Z85 – Personal history of malignant neoplasm.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.