2027 ICD-10-CM Diagnosis Code Z86.69Personal history of other diseases of the nervous system and sense organs
Z86.69 is a billable ICD-10-CM diagnosis code for personal history of other diseases of the nervous system and sense organs. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z86.69.
Present on Admission (POA)Billing
Z86.69 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Epilepsy resolved
- Family history of neoplasm of skin
- Family history of Von Hippel-Lindau syndrome
- H/O: brain disorder
- H/O: cataract
- H/O: chronic ear infection
- H/O: CNS disorder
- H/O: corneal ulcer
- H/O: ear disorder
- H/O: epilepsy
- H/O: glaucoma
- H/O: hearing problem
- H/O: iritis
- H/O: Ménière's disease
- H/O: migraine
- H/O: perinatal convulsion
- H/O: retinal detachment
- H/O: trigeminal neuralgia
- H/O: vertigo
- H/O: visual disturbance
- Healed perforation of ear drum
- History of acute angle closure
- History of amaurosis fugax
- History of amblyopia
- History of anoxic brain injury
- History of anterior ischemic optic neuropathy
- History of Bell's palsy
- History of blepharitis
- History of central serous retinopathy
- History of choroiditis
- History of cornea graft failure
- History of corneal erosion
- History of disorder of eye proper
- History of disorder of eye region
- History of disorder of vision
- History of endophthalmitis
- History of episcleritis
- History of exudative age-related macular degeneration
- History of eyelid ptosis
- History of facial palsy
- History of glaucoma suspect
- History of Guillain Barre syndrome
- History of Guillain-Barré syndrome caused by influenza immunization
- History of headache
- History of hearing loss
- History of Horner syndrome
- History of hypertensive retinopathy
- History of hyphema
- History of idiopathic intracranial hypertension
- History of injury of eye region
- History of injury of globe of eye
- History of intra-operative complication of surgical procedure
- History of macular degeneration
- History of migraine with aura
- History of nervous system disorder
- History of neurodevelopmental disorder
- History of nonproliferative diabetic retinopathy
- History of nystagmus
- History of optic atrophy
- History of optic neuritis
- History of otitis externa
- History of otitis media
- History of perforated tympanic membrane
- History of perinatal cerebral irritability
- History of posterior ischemic optic neuropathy
- History of posterior vitreous detachment
- History of proliferative retinopathy due to diabetes mellitus
- History of retinal edema
- History of retinal hemorrhage
- History of retinitis pigmentosa
- History of retinopathy of prematurity
- History of scleritis
- History of seizure
- History of seizure due to alcohol withdrawal
- History of sensory organ disorder
- History of spinal subdural hematoma
- History of strabismus
- History of tear of retina
- History of Terson syndrome
- History of transient ischemic attack
- History of uveitis
- History of vitreous floater
- History of vitreous hemorrhage
- Patient condition resolved
- Sequela following seizure
- Sequelae of neurological disorders
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z86.69: its own notes plus those printed at Z86, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Code First
The underlying condition named in the note is sequenced before this code.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z86.69, its category, or a range that includes it.
Use Additional Code 1
These codes say to use an additional code from the note, and Z86.69 is one of the codes named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
personal (of) See Also: History, family (of);
disease or disorder (of) Z87.898
ear Z86.69
eye Z86.69
nervous system Z86.69
sense organs Z86.69
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Neurologic Diseases
The brain, spinal cord, and nerves make up the nervous system. Together they control all the workings of the body. When something goes wrong with a part of your nervous system, you can have trouble moving, speaking, swallowing, breathing, or learning. You can also have problems with your memory, senses, or mood.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z86.69 to ICD-9-CMHistory
Code HistoryHistory
Questions About Z86.69Overview
Is Z86.69 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of other diseases of the nervous system and sense organs on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z86.69 group to?
On inpatient claims, personal history of other diseases of the nervous system and sense organs maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z86.69 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of other diseases of the nervous system and sense organs describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z86.69 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for personal history of other diseases of the nervous system and sense organs on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.
