ICD-10-CM Code Z87.39

Personal history of other diseases of the musculoskeletal system and connective tissue

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z87.39 is a billable code used to specify a medical diagnosis of personal history of other diseases of the musculoskeletal system and connective tissue. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.39 might also be used to specify conditions or terms like h/o: arthritis, h/o: back problem, h/o: gout, h/o: knee problem, h/o: metabolic disorder, h/o: musculoskeletal disease, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.39 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.

Short Description:Personal history of diseases of the ms sys and conn tiss
Long Description:Personal history of other diseases of the musculoskeletal system and connective tissue

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 Z87.39 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.


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

  • H/O: arthritis
  • H/O: back problem
  • H/O: gout
  • H/O: knee problem
  • H/O: metabolic disorder
  • H/O: musculoskeletal disease
  • H/O: osteoarthritis
  • H/O: rheumatoid arthritis
  • H/O: significant knee disorder
  • History of acquired deformity of left hip following removal of prosthesis
  • History of acquired spondylolisthesis
  • History of back pain
  • History of collapsed vertebra due to osteoporosis
  • History of disorder of connective tissue
  • History of disorder of soft tissue
  • History of disruption of anterior cruciate ligament
  • History of disruption of both cruciate ligaments
  • History of disruption of capsular ligament of knee
  • History of disruption of knee ligament
  • History of disruption of lateral collateral ligament
  • History of disruption of medial collateral ligament
  • History of disruption of posterior cruciate ligament
  • History of Duchenne muscular dystrophy
  • History of fibromatosis
  • History of osteomyelitis
  • History of osteopenia
  • History of osteopenia resolved
  • History of osteoporosis
  • History of osteoporosis resolved
  • History of osteoporotic fracture
  • History of pain of multiple joints
  • History of pathological fracture
  • History of polymyalgia rheumatica
  • History of tendinitis

Present on Admission (POA)

Z87.39 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 Z87.39 to ICD-9

  • V13.59 - Hx musculoskletl 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

Connective Tissue Disorders

Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.

Over 200 disorders that impact connective tissue. There are different types:

  • Genetic disorders, such as Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta
  • Autoimmune disorders, such as lupus and scleroderma
  • Cancers, like some types of soft tissue sarcoma

Each disorder has its own symptoms and needs different treatment.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

[Learn More]

Muscle Disorders

Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.

Causes of muscle disorders include

  • Injury or overuse, such as sprains or strains, cramps or tendinitis
  • A genetic disorder, such as muscular dystrophy
  • Some cancers
  • Inflammation, such as myositis
  • Diseases of nerves that affect muscles
  • Infections
  • Certain medicines

Sometimes the cause is not known.

[Learn More]