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Z85.23 ICD-10-CM Code: Personal history of malignant neoplasm of thymus

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z85.23

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Personal history of malignant neoplasm of thymus

Personal history of malignant neoplasm of thymus

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z85Personal history of malignant neoplasm
Z85.2Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.23Personal history of malignant neoplasm of thymus

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z85.23 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z85.23 in this effective period.

Related Child Codes

Official
Z85.230Personal history of malignant carcinoid tumor of thymus
Z85.238Personal history of other malignant neoplasm of thymus

Includes

Official

ICD-10-CM does not list Includes notes for Z85.23 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z85.23 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z85.23 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z85.23 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z85.23 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

Z85.23 is the ICD-10-CM diagnosis code for personal history of malignant neoplasm of thymus. Z85.23 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).

Header codes like Z85.23 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z85.23's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z85.23 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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