Coding and coverage · ICD-10-CM

Z87 › Z87.7 › Z87.76

Z87.761 Personal history of (corrected) gastroschisis

BillableNo payment HCCChapter 21
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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.

Section Z77-Z99

Code also
  • any follow-up examination (Z08-Z09)

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.-)
Inclusion terms
  • Conditions classifiable to Q00-Q89 that have been repaired or corrected

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.