ICD-10 Coding for History of Renal Cancer(Z85.528, Z90.5)
Complete ICD-10-CM coding and documentation guide for History of Renal Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Renal Cancer
Z85.528Primary Range
Personal history of other malignant neoplasm of kidney
Used when the primary malignancy has been excised and there is no further treatment or evidence of disease.
Acquired absence of kidney
Used to indicate status post nephrectomy, often in conjunction with Z85.528.
Malignant neoplasm of kidney, except renal pelvis
Used for active renal cell carcinoma, not history.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.528 | Personal history of other malignant neoplasm of kidney | Use when the patient has a history of renal cancer with no active treatment or evidence of disease. |
|
| Z90.5 | Acquired absence of kidney | Use when documenting a patient's status post nephrectomy. |
|
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 renal cancer
Essential facts and insights about History of Renal Cancer
Primary ICD-10-CM Codes for history of renal cancer
Decision Criteria
clinical Criteria
- No active treatment or evidence of disease
documentation Criteria
- Clear statement of 'history of' renal cancer
Applicable To
- History of hypernephroma
- History of nephroblastoma
Excludes
- Active renal cancer (C64.x)
Clinical Validation Requirements
- Pathology report confirming prior RCC
- Imaging showing no recurrence
- Nephrectomy operative note
Code-Specific Risks
- Incorrectly using for active cancer cases
- Omitting when nephrectomy is documented
Coding Notes
- Ensure documentation specifies 'history of' and includes treatment details.
Z90.5 - Acquired absence of kidney
Use when documenting a patient's status post nephrectomy.
Applicable To
- Status post nephrectomy
Clinical Validation Requirements
- Surgical history documenting nephrectomy
- Imaging confirming absence of kidney
Coding Notes
Always pair with Z85.528 if applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acquired absence of kidney
Z90.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Renal Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.528.
Impact
Clinical: Incomplete patient history., Regulatory: Potential audit issues., Financial: Missed billing opportunities.
Mitigation Strategy
Review surgical history., Ensure all relevant codes are included.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Confirm absence of active disease and use Z85.528.
Impact
Using C64.x instead of Z85.528 for history of cancer.
Mitigation Strategy
Ensure documentation clearly states 'history of' and verify with imaging.
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 Renal Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Renal Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Renal Cancer. These templates include all required elements for proper coding and billing.
Oncology follow-up for history of renal cancer
Specialty: OncologyRequired Elements
- Patient history
- Treatment details
- Surveillance imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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