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Z12 ⚠ Non-billable

Encounter for screening for malignant neoplasms

ICD-10-CM · FY2026 · Factors Influencing Health Status

Code
Z12
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Factors Influencing Health Status
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Official coding notes

From CMS's ICD-10-CM Tabular List.

Also known as
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Excludes1 — never code together
  • encounter for diagnostic examination-code to sign or symptom
Use additional code
  • code to identify any family history of malignant neoplasm (Z80.-)

Frequently asked questions

What is ICD-10 code Z12?
ICD-10-CM code Z12 represents Encounter for screening for malignant neoplasms. It is a non-billable header code requiring a more specific subcategory in the Factors Influencing Health Status chapter, effective October 1, 2025 – September 30, 2026.
Is Z12 billable?
No. Z12 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z12 in?
Z12 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.

Related codes in the Z12 category

Z12.0 Encounter for screening for malignant neoplasm of stomach Billable Z12.1 Encounter for screening for malignant neoplasm of intestinal tract Non-billable Z12.2 Encounter for screening for malignant neoplasm of respiratory organs Billable Z12.3 Encounter for screening for malignant neoplasm of breast Non-billable Z12.4 Encounter for screening for malignant neoplasm of cervix Billable Z12.5 Encounter for screening for malignant neoplasm of prostate Billable Z12.6 Encounter for screening for malignant neoplasm of bladder Billable Z12.7 Encounter for screening for malignant neoplasm of other genitourinary organs Non-billable

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