ICD-10-CM Code Z87.42

Personal history of other diseases of the female genital tract

Version 2020 Billable Code Diagnoses For Females Only Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z87.42 is a billable code used to specify a medical diagnosis of personal history of other diseases of the female genital tract. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.42 might also be used to specify conditions or terms like h/o gynecological disorder, h/o: abnormal uterine bleeding, h/o: amenorrhea, h/o: dysmenorrhea, h/o: dyspareunia, h/o: genital prolapse, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.42 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

Short Description:Personal history of oth diseases of the female genital tract
Long Description:Personal history of other diseases of the female genital tract

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 Z87.42 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:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .
  • 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 gynecological disorder
  • H/O: abnormal uterine bleeding
  • H/O: amenorrhea
  • H/O: dysmenorrhea
  • H/O: dyspareunia
  • H/O: genital prolapse
  • H/O: genital prolapse
  • H/O: infertility - female
  • H/O: inter-menstrual bleeding
  • H/O: menorrhagia
  • H/O: menstrual disorder
  • H/O: polymenorrhea
  • H/O: postcoital bleeding
  • H/O: postmenopausal bleeding
  • H/O: procidentia
  • H/O: sexual function problem
  • H/O: sexual function problem
  • H/O:sexual problem - female
  • History of abnormal cervical Papanicolaou smear
  • History of endometrial hyperplasia
  • History of endometriosis
  • History of female infertility due to tubal factor
  • History of infertility due to endometriosis
  • History of pelvic inflammatory disease
  • History of recurrent vaginal discharge
  • History of sexually transmitted disease

Present on Admission (POA)

Z87.42 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 Z87.42 to ICD-9

  • V13.29 - Hx-genital/obs 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