ICD-10 Coding for History of Melanoma(Z85.820, Z12.83)
Complete ICD-10-CM coding and documentation guide for History of Melanoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Melanoma
Z85.820Primary Range
Personal history of malignant melanoma of skin
Used when melanoma is resolved and the patient is under surveillance without active treatment.
Encounter for screening for malignant neoplasms of skin
Used for screening visits post-melanoma treatment.
Malignant melanoma of skin
Used for active melanoma cases or when the patient is undergoing treatment.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.820 | Personal history of malignant melanoma of skin | Use when melanoma is resolved and the patient is under surveillance without active treatment. |
|
| Z12.83 | Encounter for screening for malignant neoplasms of skin | Use for routine skin cancer screenings. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of melanoma
Essential facts and insights about History of Melanoma
Primary ICD-10-CM Codes for history of melanoma
Decision Criteria
clinical Criteria
- Patient has completed treatment and is under surveillance.
coding Criteria
- No active treatment or recurrence of melanoma.
Applicable To
- History of malignant melanoma
Excludes
- Current malignant melanoma (C43.x)
Clinical Validation Requirements
- Pathology report confirming excision with negative margins
- No systemic therapy in past 6 months
Code-Specific Risks
- Misclassification as active melanoma
Coding Notes
- Ensure documentation clearly states 'history of' to avoid confusion with active melanoma.
Z12.83 - Encounter for screening for malignant neoplasms of skin
Use for routine skin cancer screenings.
Applicable To
- Skin cancer screening
Clinical Validation Requirements
- Documented screening intent
Coding Notes
Sequence first if screening is the primary reason for the visit.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for malignant neoplasms of skin
Z12.83Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Melanoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.820.
Impact
Clinical: Potential mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Incorrect coding leading to reimbursement issues.
Mitigation Strategy
Use specific language such as 'history of' and include treatment details.
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and risk adjustment scores.
Mitigation Strategy
Use Z85.820 for history of melanoma when no active treatment is ongoing.
Impact
Using active melanoma codes for resolved cases.
Mitigation Strategy
Regular training on ICD-10 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 Melanoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Melanoma
Use these documentation templates to ensure complete and accurate documentation for History of Melanoma. These templates include all required elements for proper coding and billing.
Annual melanoma surveillance visit
Specialty: DermatologyRequired Elements
- Patient history
- Physical examination findings
- Surveillance plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Melanoma? Ask your questions below.