2026 ICD-10-CM Diagnosis Code Z87.11Personal history of peptic ulcer disease

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z87

ICD-10-CM Z87.11
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z87.11 is a billable ICD-10-CM diagnosis code for personal history of peptic ulcer disease. 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 H/O: duodenal ulcer. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z87.11
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of peptic ulcer disease
Short Description
Personal history of peptic ulcer disease
Same as the full description in the CMS dataset.
Parent Code
Z87.1
Personal history of diseases of the digestive 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 CodeZ87.11Personal history of peptic ulcer disease

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.11.

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

Z87.11 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.

  • H/O: duodenal ulcer
  • H/O: gastric ulcer
  • H/O: peptic ulcer
  • Healed gastric ulcer
  • Healed gastric ulcer leaving a scar
  • History of gastrojejunal ulcer

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)
        • disease or disorder (of)
          • digestive system
            • peptic ulcer disease

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

Peptic Ulcer

A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. A burning stomach pain is the most common symptom. The pain:

Read the full article at MedlinePlus

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

Convert Z87.11 to ICD-9-CMHistory

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

ICD-9-CM
V12.71 Prsnl hst peptic ulcr ds
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 Z87.11Overview

Is Z87.11 (Personal history of diseases of the digestive system) a billable code?

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

Can Z87.11 be a principal diagnosis?

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

Is Z87.11 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 peptic ulcer disease on inpatient claims.

What is the ICD-9 equivalent of Z87.11?

Under the General Equivalence Mappings, personal history of peptic ulcer disease converts to ICD-9-CM V12.71 (prsnl hst peptic ulcr ds). The mapping is a direct match.