ICD-10-CM Code Z85.819
Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Z85.819 is a billable ICD code used to specify a diagnosis of personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
MS-DRG Mapping
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with CC.
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses without CC or MCC.
- DRG Group #826-830 - Myeloprolif disord or poorly differentiated neoplasms with major operating room procedure with MCC.
- DRG Group #826-830 - Myeloprolif disord or poorly differentiated neoplasms with major operating room procedure with CC.
- DRG Group #826-830 - Myeloprolif disord or poorly differentiated neoplasms with major operating room procedure without CC or MCC.
- DRG Group #826-830 - Myeloprolif disord or poorly differentiated neoplasms with other operating room procedure with CC or MCC.
- DRG Group #826-830 - Myeloprolif disord or poorly differentiated neoplasms with other operating room procedure without CC or MCC.
- DRG Group #843-845 - Other myeloprolif disorders or poorly differentiated neoplasms diagnoses with MCC.
- DRG Group #843-845 - Other myeloprolif disorders or poorly differentiated neoplasms diagnoses with CC.
- DRG Group #843-845 - Other myeloprolif disorders or poorly differentiated neoplasms diagnoses without CC or MCC.
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
ICD-10-CM Alphabetical Index References for 'Z85.819 - Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z85.819. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z85.819 and a single ICD9 code, V10.02 is an approximate match for comparison and conversion purposes.
Parent Code: Z85.81 - Personal history of malignant neoplasm of lip, oral cavity, and pharynx