Z87.728 — Personal history of other specified (corrected) congenital malformations of nervous system and sense organs
Z87.728 is a billable, specific ICD-10-CM code for personal history of other specified (corrected) congenital malformations of nervous system and sense organs. It is valid for submission on a claim.
Risk adjustment
Z87.728 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.
Medicare coverage
Z87.728 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How Z87.728 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 Z87.728.
- History›personal›congenital malformation›nervous system NEC(corrected)
- History›personal›congenital malformation›sense organs NEC(corrected)
Related codes at this level
Codes that share Z87.72. If Z87.728 is not quite right, the correct code is usually one of these.
Questions about Z87.728
- Is Z87.728 a billable ICD-10-CM code?
- Yes. Z87.728 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z87.728 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).