Z86.7 vs Z87.892
Z86.7 (Personal history of diseases of the circulatory system) compared with Z87.892 (Personal history of anaphylaxis), 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 Z87.892: “personal history of anaphylactic shock (Z87.892)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z86.7Personal history of diseases of the circulatory system | Z87.892Personal history of anaphylaxis | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Personal history of diseases of the circulatory system is a non-billable ICD-10-CM category code (Z86.7). | Personal history of anaphylaxis is a billable ICD-10-CM diagnosis code (Z87.892). |
| Includes | Conditions classifiable to I00-I99 | — |
| Code first | any follow-up examination after treatment (Z09) | 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