Z87.73CurrentCategory · further specificity required

Personal history of (corrected) congenital malformations of digestive system

Z87 · Inherited instructions

Code first

any follow-up examination after treatment (Z09)

Z77-Z99 · Inherited instructions

Code also

any follow-up examination (Z08-Z09)

Excludes 2 · 7

Z87.7 · Personal history of (corrected) congenital malformations

Excludes 2

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.-)

More specific codes

Z87.730Personal history of (corrected) cleft lip and palate Z87.731Personal history of (corrected) tracheoesophageal fistula or atresia Z87.732Personal history of (corrected) persistent cloaca or cloacal malformations Z87.738Personal history of other specified (corrected) congenital malformations of digestive system

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022 · 04-01

ChangedUnchanged

FY2022 · 04-01

Effective from 2022-04-01

Inherited rules changed

Personal history of (corrected) congenital malformations of digestive system

Category — select a more specific code

CDC/NCHS · FY2022 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	Inherited rules changed
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Z87 · Personal history of other diseases and conditions

Code first

any follow-up examination after treatment (Z09)

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

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.

Z77-Z99 · Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Code also

any follow-up examination (Z08-Z09)

Z87.7 · Personal history of (corrected) congenital malformations

Includes

Conditions classifiable to Q00-Q89 that have been repaired or corrected

Excludes 2

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.-)

More specific codes

Z87.730Personal history of (corrected) cleft lip and palateBillable / specific Z87.731Personal history of (corrected) tracheoesophageal fistula or atresiaBillable / specific Z87.732Personal history of (corrected) persistent cloaca or cloacal malformationsBillable / specific Z87.738Personal history of other specified (corrected) congenital malformations of digestive systemBillable / specific

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z87.71	Personal history of (corrected) congenital malformations of genitourinary system	Category · further specificity required
Z87.72	Personal history of (corrected) congenital malformations of nervous system and sense organs	Category · further specificity required
Z87.74	Personal history of (corrected) congenital malformations of heart and circulatory system	Billable / specific
Z87.75	Personal history of (corrected) congenital malformations of respiratory system	Billable / specific
Z87.76	Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system	Category · further specificity required
Z87.79	Personal history of other (corrected) congenital malformations	Category · further specificity required

Official titles and instructions are preserved in their source language. Official sources ↗

Z87.73CurrentCategory · further specificity required

Personal history of (corrected) congenital malformations of digestive system

Z87 · Inherited instructions

Code first

any follow-up examination after treatment (Z09)

Z77-Z99 · Inherited instructions

Code also

any follow-up examination (Z08-Z09)

Excludes 2 · 7

Z87.7 · Personal history of (corrected) congenital malformations

Excludes 2

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.-)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022 · 04-01

ChangedUnchanged

FY2022 · 04-01

Effective from 2022-04-01

Inherited rules changed

Personal history of (corrected) congenital malformations of digestive system

Category — select a more specific code

CDC/NCHS · FY2022 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	Inherited rules changed
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Z87 · Personal history of other diseases and conditions

Code first

any follow-up examination after treatment (Z09)

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

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.

Z77-Z99 · Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Code also

any follow-up examination (Z08-Z09)

Z87.7 · Personal history of (corrected) congenital malformations

Includes

Conditions classifiable to Q00-Q89 that have been repaired or corrected

Excludes 2

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.-)

More specific codes

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z87.71	Personal history of (corrected) congenital malformations of genitourinary system	Category · further specificity required
Z87.72	Personal history of (corrected) congenital malformations of nervous system and sense organs	Category · further specificity required
Z87.74	Personal history of (corrected) congenital malformations of heart and circulatory system	Billable / specific
Z87.75	Personal history of (corrected) congenital malformations of respiratory system	Billable / specific
Z87.76	Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system	Category · further specificity required
Z87.79	Personal history of other (corrected) congenital malformations	Category · further specificity required

Official titles and instructions are preserved in their source language. Official sources ↗