Z86.0102 ICD-10-CM Code: Personal history of hyperplastic colon polyps

Z86.0102 is the ICD-10-CM diagnosis code for personal history of hyperplastic colon polyps. A patient previously had hyperplastic polyps removed from the colon, which are generally considered low-risk polyps. Z86.0102 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).

Z86.0102 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.

Hyperplastic polyps have lower malignant potential compared to adenomatous polyps.