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ICD-10 Coding for History of Lung Carcinoma(Z85.118)

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

Also known as:

History of Lung CancerPersonal History of Malignant Neoplasm of Lung

Related ICD-10 Code Ranges

Complete code families applicable to History of Lung Carcinoma

Z85.11-Z85.118Primary Range

Personal history of malignant neoplasm of respiratory and intrathoracic organs

This range includes codes for personal history of malignant neoplasms of the respiratory system, specifically the bronchus and lung.

Key Information: ICD-10 code for history of lung carcinoma

Essential facts and insights about History of Lung Carcinoma

The ICD-10 code for history of lung carcinoma is Z85.118, used when treatment is complete and there is no evidence of disease.

Primary ICD-10-CM Code for history of lung carcinoma

Personal history of malignant neoplasm of bronchus and lung
Billable Code

Decision Criteria

clinical Criteria

  • No active treatment and no evidence of disease

documentation Criteria

  • Surveillance plan documented

Applicable To

  • History of lung cancer
  • History of bronchial carcinoma

Excludes

  • Current lung cancer (C34.x)

Clinical Validation Requirements

  • No evidence of disease on imaging
  • Completed treatment with no recurrence
  • Surveillance plan documented

Code-Specific Risks

  • Incorrectly coding as active cancer if treatment is ongoing
  • Omitting surveillance details in documentation

Coding Notes

  • Ensure documentation clearly states 'no evidence of disease' and includes details of 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.

Differential Codes

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

Malignant neoplasm of bronchus and lung

C34.x
Use C34.x if the patient is currently receiving treatment or there is evidence of active disease.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Lung Carcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.118.

Impact

Clinical: Inaccurate patient history., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always include specific treatment dates., Review documentation for completeness.

Impact

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

Mitigation Strategy

Use C34.x if the patient is undergoing active treatment.

Impact

Using Z85.118 when treatment is ongoing.

Mitigation Strategy

Regular training on coding guidelines and documentation review.

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 Lung Carcinoma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Lung Carcinoma

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

Post-treatment surveillance for lung cancer

Specialty: Oncology

Required Elements

  • Cancer history
  • Treatment completion date
  • Current status
  • Surveillance plan

Example Documentation

Patient is status post left lower lobe lobectomy for adenocarcinoma in March 2023. No evidence of disease on March 2025 CT. Annual surveillance CT planned.

Examples: Poor vs. Good Documentation

Poor Documentation Example
History of lung cancer.
Good Documentation Example
Status post left lower lobe adenocarcinoma resection (2023), no recurrence on 2025 CT, surveillance ongoing.
Explanation
The good example provides specific treatment dates, current status, and surveillance details.

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

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