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Compare/Z87.8 vs Z91.5

Z87.8 vs Z91.5

Z87.8 (Personal history of other specified conditions) compared with Z91.5 (Personal history of self-harm), 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. Z87.8 carries an Excludes2 note covering Z91.5: “personal history of self harm (Z91.5-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

Z87.8Personal history of other specified conditionsZ91.5Personal history of self-harm
Billing statusNon-billable header

Report instead: Z87.81, Z87.820, Z87.821, Z87.828, Z87.890

Non-billable header

Report instead: Z91.51, Z91.52

ClassificationZ00-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)
DefinitionPersonal history of other specified conditions is a non-billable ICD-10-CM category code (Z87.8).Personal history of self-harm is a non-billable ICD-10-CM category code (Z91.5).
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