Z87.6 vs Z87.7
Z87.6 (Personal history of certain (corrected) conditions arising in the perinatal period) compared with Z87.7 (Personal history of (corrected) congenital malformations), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z87.6 carries an Excludes1 note covering Z87.7: “personal history of (corrected) congenital malformations (Z87.7-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Z87.6Personal history of certain (corrected) conditions arising in the perinatal period | Z87.7Personal history of (corrected) congenital malformations | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| 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 certain (corrected) conditions arising in the perinatal period is a non-billable ICD-10-CM category code (Z87.6). | Personal history of (corrected) congenital malformations is a non-billable ICD-10-CM category code (Z87.7). |
| Includes | Conditions classifiable to P00-P96 | Conditions classifiable to Q00-Q89 that have been repaired or corrected |
| 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