Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives: 7 Excludes2 · 1 code-first instruction · 1 code-also instruction

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z87.76 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on Z87.76 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

congenital malformations that have been partially corrected or repaired but which still require medical treatment - code to condition
other postprocedural states (Z98.-) Compare Z87.76 vs Z98 →
personal history of medical treatment (Z92.-) Compare Z87.76 vs Z92 →
presence of cardiac and vascular implants and grafts (Z95.-) Compare Z87.76 vs Z95 →
presence of other devices (Z97.-) Compare Z87.76 vs Z97 →
presence of other functional implants (Z96.-) Compare Z87.76 vs Z96 →
transplanted organ and tissue status (Z94.-) Compare Z87.76 vs Z94 →

Source: inherited from Z87.7

Code First

Underlying conditions that must be sequenced before this code.

any follow-up examination after treatment (Z09)

Source: inherited from Z87

Code Also

Additional codes that may be required to fully describe the encounter.

any follow-up examination (Z08-Z09)

Source: inherited from Z77-Z99

Coder workflow for Z87.76

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

Before you code Z87.76

Z87.76 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).
ReviewZ87.760, Z87.761, Z87.762, Z87.763, Z87.768
See the relationships section · Guide: How to choose an ICD-10-CM code →
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) →

Choose the right path

Does the documentation support one of the more specific codes beneath Z87.76?
Yes → Select that code and continue the checks below on its own page.
No → Z87.76 cannot be reported as written; query for the specificity its subcategory needs.
ReviewZ87.760, Z87.761, Z87.762, Z87.763, Z87.768
Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then Z87.76.
No → Continue; do not add an underlying condition the record does not document.
ReviewZ09

Consider Z87.76. 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

Excludes2 — not part of Z87.76(7 notes)
Coding workflow: The conditions named in this note are not included in Z87.76. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareZ98, Z92, Z95, Z97, Z96, Z94
See the official tabular notes · Guidelines I.A.12.b
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 Z87.76. 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

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewZ09

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.

Code Overview

Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system is a non-billable ICD-10-CM category code (Z87.76). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Don’t confuse Z87.76 with…

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

The codes most likely to be picked instead of Z87.76 — 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.

Z98— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of other postprocedural states adds Z98; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z98 →
Z92— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of personal history of medical treatment adds Z92; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z92 →
Z95— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of presence of cardiac and vascular implants and grafts adds Z95; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z95 →
Z97— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of presence of other devices adds Z97; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z97 →
Z96— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of presence of other functional implants adds Z96; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z96 →
Z94— Excludes2 relationship (Informational)
Distinct conditions — both may be reported.
A distinct condition — both may be reported when both are documented.
What moves you there: Documentation of transplanted organ and tissue status adds Z94; it is not part of this code and both may be reported when both are documented.
Full comparison: Z87.76 vs Z94 →

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.

Sequencing: 1 Code First instruction — the underlying condition is sequenced before this code when present. See the Code First notes
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
7 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 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: Z87.760, Z87.761, Z87.762, Z87.763, Z87.768.

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 Z87.76 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 Excludes1 note: Z87.6 — Personal history of certain (corrected) conditions arising in the perinatal period (via Z87.7.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

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.

Clinical classification (AHRQ CCSR):FAC030 — Personal history of other disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Personal history of other disease).

Contextual Map

Every relationship of Z87.76 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 Z87.76 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

Referenced by Excludes1 notes

Z87.6 — Personal history of certain (corrected) conditions arising in the perinatal period[Excludes1](via Z87.7.-): “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

Clinical classification (CCSR)

FAC030 — Personal history of other disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

Nearest codes (40)

Z87 — Personal history of other diseases and conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.51 — Personal history of pre-term labor[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.59 — Personal history of other complications of pregnancy, childbirth and the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.6 — Personal history of certain (corrected) conditions arising in the perinatal period[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.61 — Personal history of (corrected) necrotizing enterocolitis of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.68 — Personal history of other (corrected) conditions arising in the perinatal period[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.7 — Personal history of (corrected) congenital malformations[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Z87.71 — Personal history of (corrected) congenital malformations of genitourinary system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
and 32 more

Change history (2)

FY2023 — Became a non-billable header[Change history]— CMS release files (code change ledger) · icd10cm-fy2023
and 1 more

Common coding questions

Can Z87.76 be billed directly?

No. Z87.76 (Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

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

Change history

FY2023 — October 1, 2022
Became a non-billable header
FY2023 changes
FY2016 — October 1, 2015
In the code set at ICD-10-CM adoption
Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z87.76 in its code family, with their registry titles.

View all codes in the Z87 family

Z87.76 ICD-10-CM Code: Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system