ICD-10-CM Code Z87.09

Personal history of other diseases of the respiratory system

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z87.09 is a billable code used to specify a medical diagnosis of personal history of other diseases of the respiratory system. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.09 might also be used to specify conditions or terms like asthma resolved, diaphragm lesion excised, emergency asthma admission since last encounter, emergency asthma patient visit since last encounter, h/o: asthma, h/o: birth asphyxia, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.09 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z87.09
Short Description:Personal history of other diseases of the respiratory system
Long Description:Personal history of other diseases of the respiratory system

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z87.09 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Asthma resolved
  • Diaphragm lesion excised
  • Emergency asthma admission since last encounter
  • Emergency asthma patient visit since last encounter
  • H/O: asthma
  • H/O: birth asphyxia
  • H/O: bronchitis
  • H/O: bronchitis
  • H/O: hay fever
  • H/O: perinatal problem
  • H/O: pertussis
  • H/O: pneumothorax
  • H/O: respiratory disease
  • History of acute lower respiratory tract infection
  • History of adult respiratory distress syndrome
  • History of aspirin exacerbated respiratory disease
  • History of bronchiolitis
  • History of chronic lung disease
  • History of chronic obstructive airway disease
  • History of emphysema
  • History of peritonsillar abscess
  • History of pleural effusion
  • History of recurrent tonsillitis
  • History of tonsillitis
  • Patient condition resolved

Present on Admission (POA)

Z87.09 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z87.09 to ICD-9

  • V12.60 - Hx resp system dis NOS (Approximate Flag)
  • V12.69 - Hx resp system dis NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Personal history of other diseases and conditions (Z87)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Breathing Problems

When you're short of breath, it's hard or uncomfortable for you to take in the oxygen your body needs. You may feel as if you're not getting enough air. Sometimes you can have mild breathing problems because of a stuffy nose or intense exercise. But shortness of breath can also be a sign of a serious disease.

Many conditions can make you feel short of breath:

  • Lung conditions such as asthma, emphysema, or pneumonia
  • Problems with your trachea or bronchi, which are part of your airway system
  • Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body
  • Anxiety and panic attacks
  • Allergies

If you often have trouble breathing, it is important to find out the cause.


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Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.

The term lung disease refers to many disorders affecting the lungs, such as asthma, COPD, infections like influenza, pneumonia and tuberculosis, lung cancer, and many other breathing problems. Some lung diseases can lead to respiratory failure.

Dept. of Health and Human Services Office on Women's Health


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