2026 ICD-10-CM Diagnosis Code Z87.01Personal history of pneumonia (recurrent)

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z87

ICD-10-CM Z87.01
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z87.01 is a billable ICD-10-CM diagnosis code for personal history of pneumonia (recurrent). It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as history of aspiration pneumonia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z87.01
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of pneumonia (recurrent)
Short Description
Personal history of pneumonia (recurrent)
Same as the full description in the CMS dataset.
Parent Code
Z87.0
Personal history of diseases of the respiratory system

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ87Personal history of other diseases and conditions
This CodeZ87.01Personal history of pneumonia (recurrent)

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.01.

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.

Present on Admission (POA)Billing

Z87.01 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • History of aspiration pneumonia
  • History of Pneumocystis jirovecii pneumonia
  • History of pneumonia
  • History of recurrent pneumonia

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • History
      • personal (of)
        • pneumonia (recurrent)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC030
Personal history of other disease
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Pneumonia

Pneumonia is an infection in one or both of your lungs. It causes the air sacs of your lungs to fill up with fluid or pus. Pneumonia can range from mild to severe, depending on what caused it, your age, and your overall health.

The full article covers:

  • What is pneumonia?
  • What causes pneumonia?
  • Who is more likely to develop pneumonia?
  • What are the symptoms of pneumonia?
  • What other problems can pneumonia cause?
  • How is pneumonia diagnosed?
  • What are the treatments for pneumonia?
  • Can pneumonia be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z87.01 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V12.61 Prsnl hx recur pneumonia
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z87.01Overview

Is Z87.01 (Personal history of diseases of the respiratory system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of pneumonia (recurrent) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z87.01 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of pneumonia (recurrent) describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z87.01 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for personal history of pneumonia (recurrent) on inpatient claims.

What is the ICD-9 equivalent of Z87.01?

Under the General Equivalence Mappings, personal history of pneumonia (recurrent) converts to ICD-9-CM V12.61 (prsnl hx recur pneumonia). The mapping is a direct match.