I25.2 vs Z86.7
I25.2 (Old myocardial infarction) compared with Z86.7 (Personal history of diseases of the circulatory system), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z86.7 carries an Excludes2 note covering I25.2: “old myocardial infarction (I25.2)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| I25.2Old myocardial infarction | Z86.7Personal history of diseases of the circulatory system | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Old myocardial infarction is a billable ICD-10-CM diagnosis code (I25.2). | Personal history of diseases of the circulatory system is a non-billable ICD-10-CM category code (Z86.7). |
| Includes | Healed myocardial infarction Past myocardial infarction diagnosed by ECG or other investigation, but currently presenting no symptoms | Conditions classifiable to I00-I99 |
| Use additional code | code to identify: chronic total occlusion of coronary artery (I25.82) exposure to environmental tobacco smoke (Z77.22) | — |
| Code first | — | any follow-up examination after treatment (Z09) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources