ICD-10 Z98.870
Billable / SpecificPersonal history of in utero procedure during pregnancy
About ICD-10-CM Z98.870
ICD-10-CM code Z98.870 represents Personal history of in utero procedure during pregnancy. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z98). The 2026 edition of ICD-10-CM Z98.870 became effective on October 1, 2025.
Type 2 Excludes
Not included here, the excluded code is not part of Z98.870, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- complications from in utero procedure for current pregnancy (O35.7)
- supervision of current pregnancy with history of in utero procedure during previous pregnancy (O09.82-)
Medicare LCD Coverage for Z98.870
Local Coverage Determinations (LCDs) from CMS MACs that list Z98.870 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 Z98.870.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z98.870 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z98.870
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.
Convert Z98.870 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z98.870 | V1521 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z98.870
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 Z98.870, Billing FAQ
Is ICD-10 code Z98.870 billable? +
Yes, Z98.870 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 2 Excludes for Z98.870? +
Type 2 Excludes (may be coded together when both conditions exist): complications from in utero procedure for current pregnancy (O35.7); supervision of current pregnancy with history of in utero procedure during previous pregnancy (O09.82-)
What ICD-9 codes does Z98.870 map to? +
Per CMS GEMs, Z98.870 maps to ICD-9 codes: V1521. 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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