MCMedicalCodingSoftware
Z86.711

Z86.711: Personal history of pulmonary embolism

Billable / specific codeICD-10-CMPOA exempt

Z86.711 is a billable, specific ICD-10-CM code for personal history of pulmonary embolism. It is valid for submission on a claim.

Check Z86.711 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z86.711

Not part of this code, but both may be coded when both are present.

Written on Z86.7: Personal history of diseases of the circulatory system

  • old myocardial infarction (I25.2)
  • personal history of anaphylactic shock (Z87.892)
  • postmyocardial infarction syndrome (I24.1)

Other codes that can never be billed with Z86.711

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I27.82Chronic pulmonary embolism

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z86.711 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56697Billing and Coding: Non-Invasive Vascular Studies

Alphabetic index entries that lead here

  • Embolism›pulmonary›healed or old
  • Embolism›pulmonary›personal history of
  • History›personal›embolism›pulmonary
  • History›personal›thrombosis›pulmonary
  • History›personal›venous thrombosis or embolism›pulmonary

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z86.71

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.