ICD-10 Guide

History Of Bladder Cancer

ICD-10 Coding for History of Bladder Cancer(Z85.51, C67.9)

PRIMARY SPECIALTYUrology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is History Of Bladder Cancer?

Essential facts and insights about History of Bladder Cancer

Key Clinical Considerations:

Hematuria (blood in urine)
Frequent urination or urgency
Pain during urination
Key diagnostic tests: Cystoscopy, Urinary cytology, Imaging studies (CT scan, MRI)
Physical exam findings: Palpable bladder mass, Suprapubic tenderness

Clinical Information

Clinical Criteria & Documentation Requirements

Required documentation elements: Patient history, Treatment history, Current symptoms, Diagnostic test results
Specific coding terminology: 'History of bladder cancer', 'Remission', 'Recurrence'
Documentation examples: 'Patient has a history of transitional cell carcinoma of the bladder, currently in remission.'

Coding Guidelines

Usage Guidelines & Examples

Usage guidelines: Use Z85.51 for personal history; avoid using active cancer codes if in remission.
Common errors: Misclassifying as active disease when in remission.

Code Exclusions

Important Exclusions

Excluded conditions: Active bladder cancer, other urinary tract malignancies
Alternative codes: Use Z85.51 instead of active cancer codes.

Specialty Focus

Primary Specialty

Urology

Specialty Applications

Patient populations: Survivors of bladder cancer, patients undergoing surveillance
Clinical settings: Urology clinics, oncology follow-ups

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the patient's history, treatment details, and current status of bladder cancer.

Billing considerations?

Ensure accurate coding of history and any ongoing surveillance or treatment.

History Of Bladder Cancer

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

History Of Bladder Cancer

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?