Z87.6 ICD-10-CM Code: Personal history of certain (corrected) conditions arising in the perinatal period

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z87.6 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on Z87.6 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for Z87.6

MedCoder structured workflow — derived from this code’s own official record

Before you code Z87.6

1. Z87.6 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

   ReviewZ87.61, Z87.68

   See the relationships section · Guide: How to choose an ICD-10-CM code →

2. Confirm the reason for the encounter this Z code records: a personal or family history — a condition no longer present or present in a relative — never a current condition. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c.4, I.C.21.c.15).

   Guide: History codes (Z codes) →

3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Z87.6. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

   See the official tabular notes

Choose the right path

1. Does the documentation support one of the more specific codes beneath Z87.6?
   Yes → Select that code and continue the checks below on its own page.
   No → Z87.6 cannot be reported as written; query for the specificity its subcategory needs.

   ReviewZ87.61, Z87.68

2. Does the documentation support a condition named in Z87.6’s Excludes1 note?
   Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
   No → Continue.

   ReviewZ87.7

3. Is the underlying (etiologic) condition the Code First note names documented?
   Yes → Sequence the underlying condition first, then Z87.6.
   No → Continue; do not add an underlying condition the record does not document.

   ReviewZ09

Consider Z87.6. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

The underlying (etiologic) condition

Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).

The reason for the encounter

Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).

Official instructions as workflow

• Excludes1 — check before selecting Z87.6(1 note)

  Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Z87.6: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

  CompareZ87.7

  See the official tabular notes · Guidelines I.A.12.a

• Code First — sequencing check(1 note)

  Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before Z87.6. Do not add an underlying condition the record does not document.

  ReviewZ09

  See the official tabular notes · Guidelines I.A.13

• Code Also — related condition(1 note)

  Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

  See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Z87.6 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Z87.6 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• Z87.7— Excludes1 conflict (Conflict)

  Not coded here — these two are mutually exclusive.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of personal history of (corrected) congenital malformations moves the case to Z87.7; the two are not reported together unless documented as unrelated.

  Full comparison: Z87.6 vs Z87.7 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

1. Sequencing: 1 Code First instruction — the underlying condition is sequenced before this code when present. See the Code First notes
2. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
3. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

• Not billable as written — a more specific code is required: Z87.61, Z87.68.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name Z87.6 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Use Additional Code instruction: Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (via Z87.-).

These codes instruct coders to additionally report this code when it applies.

Contextual Map

Every relationship of Z87.6 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Z87.6 with these 2 related codes in Claim Check

Hierarchy

• Z00-Z99 — Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) (Z00-Z99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Excludes1

• Z87.7 — Personal history of (corrected) congenital malformations[Excludes1]: “personal history of (corrected) congenital malformations (Z87.7-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Use Additional Code instructions

• Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm[Use Additional Code](via Z87.-): “code to identify any applicable history of disease code (Z86.-, Z87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Nearest codes (40)

• Z87 — Personal history of other diseases and conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.311 — Personal history of (healed) other pathological fracture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.312 — Personal history of (healed) stress fracture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.39 — Personal history of other diseases of the musculoskeletal system and connective tissue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.4 — Personal history of diseases of genitourinary system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.41 — Personal history of dysplasia of the female genital tract[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.410 — Personal history of cervical dysplasia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Z87.411 — Personal history of vaginal dysplasia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2023 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2023

Relevant guides

• History Codes (Z80–Z87): When Is a Condition “History Of” Rather Than Current? →

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z87.6 in its code family, with their registry titles.

• Z87.442 — Personal history of urinary calculi
• Z87.448 — Personal history of other diseases of urinary system
• Z87.5 — Personal history of complications of pregnancy, childbirth and the puerperium
• Z87.51 — Personal history of pre-term labor
• Z87.59 — Personal history of other complications of pregnancy, childbirth and the puerperium
• Z87.61 — Personal history of (corrected) necrotizing enterocolitis of newborn
• Z87.68 — Personal history of other (corrected) conditions arising in the perinatal period
• Z87.7 — Personal history of (corrected) congenital malformations
• Z87.71 — Personal history of (corrected) congenital malformations of genitourinary system
• Z87.710 — Personal history of (corrected) hypospadias

View all codes in the Z87 family