Is Z87.430 a billable ICD-10-CM code?

Yes. Z87.430 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z87.430 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z87.430?

Z87.430 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z87.430

Z87.430 — Personal history of prostatic dysplasia

Billable / specific codeICD-10-CMPOA exempt

Z87.430 is a billable, specific ICD-10-CM code for personal history of prostatic dysplasia. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

personal history of malignant neoplasm of prostate (Z85.46)

Risk adjustment

Z87.430 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z87.430 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z87.430.

History›personal›prostatic dysplasia
History›personal›dysplasia›prostatic

Related codes at this level

Codes that share Z87.43. If Z87.430 is not quite right, the correct code is usually one of these.

Z87.438Personal history of other diseases of male genital organs

Questions about Z87.430

Is Z87.430 a billable ICD-10-CM code?: Yes. Z87.430 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z87.430 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z87.430?: Z87.430 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.