Z87.31 vs Z87.81
Z87.31 (Personal history of (healed) nontraumatic fracture) compared with Z87.81 (Personal history of (healed) traumatic fracture), 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. Z87.31 carries an Excludes2 note covering Z87.81: “personal history of (healed) traumatic fracture (Z87.81)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. Z87.81 carries an Excludes2 note covering Z87.31: “personal history of (healed) nontraumatic fracture (Z87.31-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z87.31Personal history of (healed) nontraumatic fracture | Z87.81Personal history of (healed) traumatic fracture | |
|---|---|---|
| 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 (healed) nontraumatic fracture is a non-billable ICD-10-CM category code (Z87.31). | Personal history of (healed) traumatic fracture is a billable ICD-10-CM diagnosis code (Z87.81). |
| 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