Z87.820

Z87.820: Personal history of traumatic brain injury

Billable / specific codeICD-10-CMPOA exempt

Z87.820 is a billable, specific ICD-10-CM code for personal history of traumatic brain injury. It is valid for submission on a claim.

Check Z87.820 with the rest of the claim: free scrubber

Excludes1: never code together

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

personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (Z86.73)

Excludes2 inherited from the categories above Z87.820

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

Written on Z87.8: Personal history of other specified conditions

personal history of self harm (Z91.5-)

Other codes that can never be billed with Z87.820

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

Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

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

Medicare coverage

Z87.820 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

History›personal›brain injury(traumatic)
History›personal›traumatic brain injury

Code history

Unchanged in every release from FY2024 to FY2027.