2027 ICD-10-CM Diagnosis Code Z87.310Personal history of (healed) osteoporosis fracture
Z87.310 is a billable ICD-10-CM diagnosis code for personal history of (healed) osteoporosis fracture. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. 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 fragility fracture. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z87.310.
Present on Admission (POA)Billing
Z87.310 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- History of fragility fracture
- History of osteoporosis
- History of osteoporotic fracture
- History of pathological fracture
- History of stress fracture
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z87.310: its own notes plus those printed at Z87.3, Z87, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Personal history of (healed) fragility fracture
- Personal history of (healed) collapsed vertebra due to osteoporosis
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z87.310, its category, or a range that includes it.
Excludes2 3
These codes carry an Excludes2 note naming Z87.310: its condition is not part of those codes, and both may be reported when the patient has both.
- M80 Osteoporosis with current pathological fracturepersonal history of (healed) osteoporosis fracture (Z87.310)
- Z87.311 Personal history of (healed) other pathological fracturepersonal history of osteoporosis fracture (Z87.310)
- Z87.81 Personal history of (healed) traumatic fracturepersonal history of (healed) nontraumatic fracture (Z87.31-) names Z87.31-, which includes this code
Use Additional Code 2
These codes say to use an additional code from the note, and Z87.310 is one of the codes named.
- M81 Osteoporosis without current pathological fracturepersonal history of (healed) osteoporosis fracture, if applicable (Z87.310)
- Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmcode to identify any applicable history of disease code (Z86.-, Z87.-) names Z87.-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
personal (of) See Also: History, family (of);
collapsed vertebra (healed) Z87.311
due to osteoporosis Z87.310
fragility Z87.310
osteoporosis Z87.310
osteoporosis fractures Z87.310
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Fractures
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
The full article covers:
- What is a fracture?
- What are the different types of fractures?
- What causes fractures?
- What are the symptoms of a fracture?
- How are fractures diagnosed?
- What are the treatments for fractures?
- Can fractures be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z87.310 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z87.310Overview
What is the ICD-10 code for personal history of (healed) osteoporosis fracture?
The ICD-10-CM code for personal history of (healed) osteoporosis fracture is Z87.310 (sometimes written as Z87310). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z87.310 (Personal history of (healed) nontraumatic fracture) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of (healed) osteoporosis fracture on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z87.310 group to?
On inpatient claims, personal history of (healed) osteoporosis fracture maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z87.310 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of (healed) osteoporosis fracture describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z87.310 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 (healed) osteoporosis fracture on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.
