ICD-10-CM Code Z87.59

Personal history of other complications of pregnancy, childbirth and the puerperium

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

Valid for Submission

Z87.59 is a billable code used to specify a medical diagnosis of personal history of other complications of pregnancy, childbirth and the puerperium. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.59 might also be used to specify conditions or terms like a/n care: h/o trophoblastic disease, a/n care: obstetric risk, child of patient deceased, deliveries by breech extraction, h/o: 1 miscarriage, h/o: 2 miscarriages, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.59 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:Z87.59
Short Description:Personal history of comp of preg, chldbrth and the puerp
Long Description:Personal history of other complications of pregnancy, childbirth and the puerperium

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z87.59:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Personal history of trophoblastic disease

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 Z87.59 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.

Synonyms

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

  • A/N care: H/O trophoblastic disease
  • A/N care: obstetric risk
  • Child of patient deceased
  • Deliveries by breech extraction
  • H/O: 1 miscarriage
  • H/O: 2 miscarriages
  • H/O: 3 miscarriages
  • H/O: 4 miscarriages
  • H/O: 5 miscarriages
  • H/O: 6 miscarriages
  • H/O: antepartum hemorrhage
  • H/O: biliary disease
  • H/O: eclampsia
  • H/O: ectopic pregnancy
  • H/O: first degree perineal laceration
  • H/O: hypertension
  • H/O: miscarriage
  • H/O: perinatal fetal loss
  • H/O: perinatal problem
  • H/O: perinatal problem
  • H/O: postpartum hemorrhage
  • H/O: postpartum psychosis
  • H/O: previous baby with fetal growth restriction
  • H/O: prolonged labor
  • H/O: severe pre-eclampsia
  • H/O: stillbirth
  • H/O: uterine inversion
  • History of antiretroviral therapy
  • History of antiretroviral therapy during labor and delivery
  • History of cholestasis in pregnancy
  • History of complication of pregnancy, childbirth and/or puerperium
  • History of delivery of macrosomal infant
  • History of fetal growth retardation
  • History of gestational hypertension
  • History of gestational trophoblastic disease
  • History of insufficient prenatal care
  • History of intrauterine fetal death
  • History of molar pregnancy
  • History of perineal laceration
  • History of peripartum antiretroviral therapy
  • History of placenta accreta
  • History of placenta previa
  • History of poor pregnancy outcome
  • History of pre-eclampsia
  • History of pregnancy loss in non-pregnant woman
  • History of pregnancy with abortive outcome
  • History of preterm premature rupture of membranes
  • History of previous intrauterine growth restricted newborn
  • History of previous small for gestational age newborn
  • History of psychotic disorder
  • History of retained placenta
  • Maternal prolapsed cord
  • Past history of small for gestational age baby

Present on Admission (POA)

Z87.59 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 Z87.59 to ICD-9

  • V13.1 - Hx-trophoblastic disease (Approximate Flag)
  • 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

Information for Patients


Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.


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Health Problems in Pregnancy

Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, substance abuse during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.

If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include

  • High blood pressure
  • Polycystic ovary syndrome
  • Kidney problems
  • Autoimmune disorders
  • Obesity
  • HIV/AIDS
  • Cancer
  • Infections

Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.

Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.


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Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

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


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