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Z85.118

Billable

Personal history of other malignant neoplasm of bronchus and lung

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Z85.118 an HCC code?

No. Z85.118 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z85.118 is the ICD-10-CM diagnosis code for personal history of other malignant neoplasm of bronchus and lung. A person who previously had cancer of the bronchus or lung that was not a carcinoid tumor. Z85.118 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).

Z85.118 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code for non-carcinoid lung cancers such as adenocarcinoma, squamous cell carcinoma, or small cell carcinoma.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z85.118 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for non-carcinoid lung cancers such as adenocarcinoma, squamous cell carcinoma, or small cell carcinoma
  • Ensure carcinoid lung tumors are coded separately using Z85.110

Code Hierarchy

More on Z85.118

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