ICD-10-CM Code Z87.828

Personal history of other (healed) physical injury and trauma

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z87.828 is a billable code used to specify a medical diagnosis of personal history of other (healed) physical injury and trauma. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z87.828 might also be used to specify conditions or terms like burn scar, finding of wound healing, finding of wound healing, finding of wound healing, h/o: birth trauma, h/o: dislocated shoulder, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z87.828 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:Z87.828
Short Description:Personal history of oth (healed) physical injury and trauma
Long Description:Personal history of other (healed) physical injury and trauma

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 Z87.828 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:

  • Burn scar
  • Finding of wound healing
  • Finding of wound healing
  • Finding of wound healing
  • H/O: birth trauma
  • H/O: dislocated shoulder
  • H/O: facial injury
  • H/O: head injury
  • H/O: head injury
  • H/O: injury
  • H/O: needle stick injury
  • H/O: perinatal problem
  • Healed tear of anal sphincter
  • History of bucket handle tear of lateral meniscus
  • History of bucket handle tear of medial meniscus
  • History of burn
  • History of closed head injury
  • History of fourth degree perineal laceration
  • History of heat stroke
  • History of injury of globe of eye
  • History of open head injury
  • History of penis injury
  • History of perineal laceration
  • History of second degree perineal laceration
  • History of spinal cord injury
  • History of third degree perineal laceration
  • O/E - Wound healed
  • O/E - wound healing
  • O/E - wound healing
  • O/E - Wound healing well
  • Post-traumatic scar
  • Recent injury of posterior cruciate ligament
  • Wound healed

Present on Admission (POA)

Z87.828 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 Z87.828 to ICD-9

  • V15.59 - Hx injury 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


Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures
  • Sprains and strains

[Learn More]