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ICD-10 Coding for History of Liver Cancer(Z85.05)

Complete ICD-10-CM coding and documentation guide for History of Liver Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Personal History of Hepatocellular CarcinomaHistory of Hepatic Cancer

Related ICD-10 Code Ranges

Complete code families applicable to History of Liver Cancer

Z85.0-Z85.9Primary Range

Personal history of malignant neoplasm

This range includes codes for personal history of malignant neoplasms, including liver cancer.

Key Information: ICD-10 code for history of liver cancer

Essential facts and insights about History of Liver Cancer

The ICD-10 code for a personal history of liver cancer is Z85.05, used when there is no current evidence of disease.

Primary ICD-10-CM Code for history of liver cancer

Personal history of malignant neoplasm of liver
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows no lesions, AFP normal

documentation Criteria

  • Documented history of liver cancer with no current treatment

Applicable To

  • History of hepatocellular carcinoma
  • History of liver cancer

Excludes

  • Current liver cancer (C22.0)
  • Liver metastases (C78.7)

Clinical Validation Requirements

  • No evidence of disease on imaging
  • Normal AFP levels
  • Completed treatment with no further therapy

Code-Specific Risks

  • Incorrectly using for active cancer cases
  • Missing documentation of surveillance imaging

Coding Notes

  • Ensure documentation clearly states 'no evidence of disease' and 'completed treatment.'

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Encounter for follow-up examination after completed treatment for malignant neoplasm

Z08
Use for follow-up visits post-treatment to monitor for recurrence.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Liver cell carcinoma

C22.0
Use C22.0 if there is active disease or recurrence.

Secondary malignant neoplasm of liver

C78.7
Use C78.7 for liver metastases from another primary site.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Liver Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.05.

Impact

Clinical: Misleading clinical status, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Ensure imaging and lab results support remission status, Regularly update patient records with surveillance findings

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use C22.0 for active treatment cases.

Impact

Using Z85.05 for active cancer cases.

Mitigation Strategy

Regular audits and training on coding guidelines.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for History of Liver Cancer, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Liver Cancer

Use these documentation templates to ensure complete and accurate documentation for History of Liver Cancer. These templates include all required elements for proper coding and billing.

Routine follow-up after liver cancer treatment

Specialty: Oncology

Required Elements

  • Diagnosis history
  • Surveillance imaging results
  • AFP levels
  • Follow-up plan

Example Documentation

Patient with history of HCC, s/p resection 2023. Surveillance MRI shows no recurrence. AFP 3 ng/mL.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hx liver cancer, follow-up
Good Documentation Example
Hx HCC (C22.0) s/p resection 2024. Surveillance MRI 3/2025: no recurrence. AFP 3 ng/mL.
Explanation
The good example provides specific dates, imaging results, and lab values, ensuring complete documentation.

Need help with ICD-10 coding for History of Liver Cancer? Ask your questions below.

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