ICD-10 Coding for History of Skin Cancer(Z85.820, Z85.828)
Complete ICD-10-CM coding and documentation guide for History of Skin 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 Skin Cancer
Z85.820-Z85.828Primary Range
Personal history of malignant neoplasm of skin
These codes are used to document a patient's history of skin cancer, indicating that the cancer has been treated and is no longer active.
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 has been treated and there is no ongoing treatment. |
|
| Z85.828 | Personal history of other malignant neoplasm of skin | Use when non-melanoma skin cancer has been treated and is no longer active. |
|
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 skin cancer
Essential facts and insights about History of Skin Cancer
Primary ICD-10-CM Codes for history of skin cancer
Decision Criteria
clinical Criteria
- Patient has completed treatment and is under surveillance.
Applicable To
- History of melanoma
Excludes
- Current melanoma (C43._)
Clinical Validation Requirements
- Documented history of melanoma excision
- No evidence of disease on follow-up
Code-Specific Risks
- Incorrectly coding active melanoma as history
Coding Notes
- Ensure documentation clearly states 'history of' and 'no evidence of disease'.
Z85.828 - Personal history of other malignant neoplasm of skin
Use when non-melanoma skin cancer has been treated and is no longer active.
Applicable To
- History of basal cell carcinoma
- History of squamous cell carcinoma
Excludes
- Current non-melanoma skin cancer (C44._)
Clinical Validation Requirements
- Pathology report confirming excision
- No current lesions on examination
Coding Notes
Ensure documentation specifies type of skin cancer and treatment status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Skin Cancer 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 for mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Use specific language in notes., Include treatment dates and current status.
Impact
Reimbursement: Claims may be denied if Z12.83 is used incorrectly., Compliance: Non-compliance with payer policies., Data Quality: Inaccurate representation of patient history.
Mitigation Strategy
Use Z85.820 or Z85.828 with Z08 for follow-up instead.
Impact
Using history codes for active cancer cases.
Mitigation Strategy
Verify treatment completion and document NED status.
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 Skin Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Skin Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Skin Cancer. These templates include all required elements for proper coding and billing.
High-risk skin cancer surveillance
Specialty: DermatologyRequired Elements
- History of present illness
- Physical exam findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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