Coding and coverage · ICD-10-CM
Z87.72 Personal history of (corrected) congenital malformations of nervous system and sense organs
Report one of the more specific codes below.
Codes under this one
Instructional notes
Chapter 21
Notes
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Z87
Code firstSequence the underlying condition first.
- any follow-up examination after treatment (Z09)
Z87.7
Excludes2Not included here: the patient may have both; report both when both are present.
- 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.-)
Chapter 21: Factors influencing health status and contact with health services · Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.