ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z87.890

Billable / Specific

Personal history of sex reassignment

Z87
Block
0
Synonyms
179
LCDs
7
Payer Policies
65
Linked CPTs

About ICD-10-CM Z87.890

ICD-10-CM code Z87.890 represents Personal history of sex reassignment. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z87). The 2026 edition of ICD-10-CM Z87.890 became effective on October 1, 2025.

Medicare LCD Coverage for Z87.890

Local Coverage Determinations (LCDs) from CMS MACs that list Z87.890 as a covered diagnosis.

179 LCDs

Showing top 10 of 179 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT G0176 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96116 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90785 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90847 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z87.890.

7 policies

5 Medicare

Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
Policy ID: ART-53793
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-57053
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

1 Aetna

Gender Affirming Surgery
Policy ID: CPB-0615

CPT Codes Commonly Billed with Z87.890

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

65 linkages
  • J3145 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 84403 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 84410 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J1072 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 11980 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J1071 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J3121 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 15820 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD
  • 56625 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD
  • 21209 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD

Convert Z87.890 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z87.890 30250 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z87.890

Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).

Z77 Other contact with and (suspected) exposures hazardous to health (non-billable) Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.01 Contact with and (suspected) exposure to hazardous metals (non-billable) Z77.010 Contact with and (suspected) exposure to arsenic Z77.011 Contact with and (suspected) exposure to lead Z77.012 Contact with and (suspected) exposure to uranium Z77.018 Contact with and (suspected) exposure to other hazardous metals Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds (non-billable) Z77.020 Contact with and (suspected) exposure to aromatic amines Z77.021 Contact with and (suspected) exposure to benzene Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.090 Contact with and (suspected) exposure to asbestos Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment (non-billable) Z77.11 Contact with and (suspected) exposure to environmental pollution (non-billable) Z77.110 Contact with and (suspected) exposure to air pollution Z77.111 Contact with and (suspected) exposure to water pollution Z77.112 Contact with and (suspected) exposure to soil pollution Z77.118 Contact with and (suspected) exposure to other environmental pollution

ICD-10 Z87.890, Billing FAQ

Is ICD-10 code Z87.890 billable? +

Yes, Z87.890 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with Z87.890? +

Procedures frequently paired with Z87.890 include: J3145, 84403, 84410, J1072, 11980.

What ICD-9 codes does Z87.890 map to? +

Per CMS GEMs, Z87.890 maps to ICD-9 codes: 30250. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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