Z87.74

Z87.74: Personal history of (corrected) congenital malformations of heart and circulatory system

Billable / specific codeICD-10-CMPOA exempt

Z87.74 is a billable, specific ICD-10-CM code for personal history of (corrected) congenital malformations of heart and circulatory system. It is valid for submission on a claim.

Check Z87.74 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z87.74

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

Written on Z87.7: Personal history of (corrected) congenital malformations

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.-)

Risk adjustment

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

Medicare coverage

Z87.74 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57306Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

History›personal›congenital malformation›circulatory system(corrected)
History›personal›congenital malformation›heart(corrected)

Code history

Unchanged in every release from FY2024 to FY2027.