Z87.7 — Personal history of (corrected) congenital malformations
Z87.7 is a non-billable header ICD-10-CM code for personal history of (corrected) congenital malformations. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- congenital malformations that have been partially corrected or repaired but which still require medical treatment - code to condition
- other postprocedural states (Z98.-)
- personal history of medical treatment (Z92.-)
- presence of cardiac and vascular implants and grafts (Z95.-)
- presence of other devices (Z97.-)
- presence of other functional implants (Z96.-)
- transplanted organ and tissue status (Z94.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
Other codes that can never be billed with Z87.7
These codes carry an Excludes1 note pointing at Z87.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z87.7 alone.
- Z87.6Personal history of certain (corrected) conditions arising in the perinatal period
Risk adjustment
Z87.7 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.
Code to one of these instead Z87.7
7 child codes. Green means billable.
- Z87.71Personal history of (corrected) congenital malformations of genitourinary system
- Z87.72Personal history of (corrected) congenital malformations of nervous system and sense organs
- Z87.73Personal history of (corrected) congenital malformations of digestive system
- Z87.74Personal history of (corrected) congenital malformations of heart and circulatory system
- Z87.75Personal history of (corrected) congenital malformations of respiratory system
- Z87.76Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system
- Z87.79Personal history of other (corrected) congenital malformations
Related codes at this level
Codes that share Z87. If Z87.7 is not quite right, the correct code is usually one of these.
- Z87.0Personal history of diseases of the respiratory system
- Z87.1Personal history of diseases of the digestive system
- Z87.2Personal history of diseases of the skin and subcutaneous tissue
- Z87.3Personal history of diseases of the musculoskeletal system and connective tissue
- Z87.4Personal history of diseases of genitourinary system
- Z87.5Personal history of complications of pregnancy, childbirth and the puerperium
- Z87.6Personal history of certain (corrected) conditions arising in the perinatal period
- Z87.8Personal history of other specified conditions
Questions about Z87.7
- Is Z87.7 a billable ICD-10-CM code?
- No. Z87.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z87.7 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).