HX Breast Cancer ICD-10-CM Codes

HX Breast Cancer ICD-10-CM Codes

ICD-10-CM codes for breast cancer history to support accurate billing and patient documentation.

By Audrey Liz Perez on Aug 8, 2025.

Fact Checked by Ericka Pingol.

Use Code

What ICD-10 codes are used for a history of breast cancer?

Patients with a history of breast cancer who are not currently undergoing treatment or showing signs of active disease but are being monitored have specific ICD-10-CM codes to indicate this history. Proper coding of this history is essential for surveillance, risk assessments, and future medical care decisions.

Below are the commonly used ICD-10-CM codes related to personal and family history of breast cancer:

Z85.3 - Personal history of malignant neoplasm of the breast

This specific code indicates that the patient has a personal history of breast cancer, meaning they have been diagnosed and treated for breast cancer in the past and are no longer undergoing active treatment.

Z80.3 – Family history of malignant neoplasm of breast

Used when there is a family history of breast cancer, such as in a parent, sibling, or child. This information is vital for assessing genetic risk and determining appropriate screening protocols.

Z15.01 – Genetic susceptibility to malignant neoplasm of the breast

This code is applied when a patient has a confirmed genetic susceptibility to breast cancer, such as BRCA1 or BRCA2 gene mutations.

Z08 – Encounter for follow-up examination after completed treatment for malignant neoplasm

Used for follow-up visits after the completion of breast cancer treatment to monitor for recurrence or manage any long-term effects.

Z79.81 – Long-term (current) use of aromatase inhibitors

Applicable when a patient is on long-term aromatase inhibitor therapy as part of breast cancer treatment or prevention strategy.

Z86.000 – Personal history of in situ neoplasm of breast

Indicates a personal history of non-invasive breast cancer, such as ductal carcinoma in situ (DCIS).

Which HX breast cancer ICD codes are billable?

All the codes listed above are billable under the ICD-10-CM system. They are used to document a patient's medical history accurately and are essential for insurance claims, treatment planning, and ongoing patient management.

Clinical information

Documenting a history of breast cancer involves noting any previous diagnoses of malignant neoplasm of the breast, treatments undergone, and current remission status. This information is critical for:

  • Individuals with a history of breast cancer might be at higher risk for a recurrence or a new primary breast cancer than the general population.
  • Regular surveillance, including mammograms or other imaging, may be recommended for these individuals.
  • A history of breast cancer may also influence decisions about hormone replacement therapy or other treatments.  
  • Patients with a family history may benefit from genetic testing and counseling to determine their risk and consider preventive options.
  • Understanding a patient's cancer history is crucial in creating an appropriate follow-up care plan. Regular follow-up is essential to monitor for recurrence and manage any long-term effects of treatment.
  • Accurate documentation is also important to distinguish breast cancer history from other conditions, such as malignant neoplasm of the ovary or malignant neoplasm unspecified, which require separate codes for proper diagnosis and treatment planning.

Synonyms include:

  • History of breast cancer
  • Previous breast carcinoma diagnosis
  • Breast cancer in medical history
  • Former breast malignancy
  • History of breast malignancy
  • Post-treatment breast cancer follow-up

Commonly asked questions

A HX Breast Cancer ICD code should be used when documenting a patient's medical record to indicate that they have had breast cancer but do not currently have active disease.

A history of breast cancer code can affect medical decision-making, surveillance plans, treatment options, and insurance coverage. It also serves as crucial information for healthcare providers to understand the patient's previous medical challenges and future risks.

A diagnosis code for a history of breast cancer denotes that a patient has been previously diagnosed with breast cancer, though they don't currently have active disease.

Related ICDs

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