Z87.81 vs Z91
Z87.81 (Personal history of (healed) traumatic fracture) compared with Z91 (Personal risk factors, not elsewhere classified), 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. Z91 carries an Excludes2 note covering Z87.81: “personal history of physical injury and trauma (Z87.81, Z87.82-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z87.81Personal history of (healed) traumatic fracture | Z91Personal risk factors, not elsewhere classified | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: Z91.010, Z91.0110, Z91.0111, Z91.0112, Z91.0120 |
| 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) traumatic fracture is a billable ICD-10-CM diagnosis code (Z87.81). | Personal risk factors, not elsewhere classified is a non-billable ICD-10-CM category code (Z91). |
| 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