Z87.8902

Z87.8902: Personal history of medical gender transition

Billable / specific codeICD-10-CMPOA exempt

Z87.8902 is a billable, specific ICD-10-CM code for personal history of medical gender transition. It is valid for submission on a claim.

Check Z87.8902 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Personal history of pharmacological (hormonal) gender transition

Excludes2 inherited from the categories above Z87.8902

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-)

Risk adjustment

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

Medicare coverage

Z87.8902 is named in 6 Medicare coverage policies: 4 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
A53793Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
A57053Billing and Coding: Psychiatric Partial Hospitalization Programs

Code history

addedFY2024-FY2027
Personal history of medical gender transition