2025 ICD-10-CM code Z80
Family history of primary malignant neoplasm.
This code itself doesn't justify medical necessity for procedures.However, it can support the medical necessity of screenings or genetic testing based on increased risk due to family history.Additional diagnoses and documentation will be required to demonstrate the medical necessity of any services provided.
Clinicians should use this code when a patient presents with a family history of primary malignant neoplasm. It's essential to document specific details about the affected relative(s), the type of cancer, and the age of onset.
In simple words: This code indicates that someone in your family has or had cancer. It notes a higher risk for you but doesn't mean you have cancer.
This code signifies a family history of primary malignant neoplasm, indicating that one or more family members have a history of cancer.It is used to document a patient's increased risk due to family predisposition but does not diagnose the patient with cancer themselves.
Example 1: A patient presents for an annual check-up and reports that their mother was diagnosed with breast cancer at age 50. The physician documents this family history using code Z80., A patient with a family history of colon cancer is referred for a screening colonoscopy. Code Z80 would be used along with the appropriate procedure code for the colonoscopy., A patient is consulting a genetic counselor due to multiple family members having been diagnosed with various types of cancer. The counselor uses Z80 to document the overall family history of malignancy.
Documentation should specify the type of cancer, the family member affected, and the age of diagnosis. More detailed information, such as the stage and treatment of the cancer, can also be helpful.
** It's crucial to remember that Z80 represents a family history of cancer and not a current diagnosis of cancer in the patient.Always use the most specific Z80 code available if the site of the malignancy is known. This code can be used in conjunction with other codes to fully represent the patient's condition and reason for the encounter.
- Specialties:Primary Care, Oncology, Genetics, and any specialty performing cancer screenings.
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital