ICD-10 Z87.7
Non-Billable HeaderPersonal history of (corrected) congenital malformations
About ICD-10-CM Z87.7
ICD-10-CM code Z87.7 represents Personal history of (corrected) congenital malformations. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z87). The 2026 edition of ICD-10-CM Z87.7 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z87.7. Per CMS ICD-10-CM Tabular 2026.
- Conditions classifiable to Q00-Q89 that have been repaired or corrected
Type 2 Excludes
Not included here, the excluded code is not part of Z87.7, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- 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.-)
Medicare LCD Coverage for Z87.7
Local Coverage Determinations (LCDs) from CMS MACs that list Z87.7 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z87.7.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z87.7 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z87.7
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z87.7
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z87.7, Billing FAQ
Is ICD-10 code Z87.7 billable? +
No, Z87.7 is a non-billable header code. Use a more specific child code from block Z87 when submitting claims.
What other names or terms map to Z87.7? +
ICD-10 Z87.7 includes: Conditions classifiable to Q00-Q89 that have been repaired or corrected.
What codes are Type 2 Excludes for Z87.7? +
Type 2 Excludes (may be coded together when both conditions exist): 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.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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