2026 ICD-10-CM Diagnosis Code Z87.311Personal history of (healed) other pathological fracture
Z87.311 is a billable ICD-10-CM diagnosis code for personal history of (healed) other pathological fracture. 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: hip 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 Z87.311.
Present on Admission (POA)Billing
Z87.311 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: hip fracture
- History of pathological fracture
- History of pathological hip fracture
- History of pathological vertebral fracture
- History of vertebral fracture
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Personal history of (healed) collapsed vertebra NOS
Type 2 Excludes
- personal history of osteoporosis fracture Z87.310
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.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- History
- personal (of) - See Also: History, family (of);
- collapsed vertebra (healed) - Z87.311
- pathological NEC - Z87.311
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- History
- personal (of)
- collapsed vertebra (healed)
- History
- personal (of)
- fracture (healed)
- pathological NEC
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 Z87.311 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z87.311Overview
Is Z87.311 (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) other pathological fracture on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z87.311 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of (healed) other pathological fracture describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z87.311 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) other pathological fracture on inpatient claims.
What is the ICD-9 equivalent of Z87.311?
Under the General Equivalence Mappings, personal history of (healed) other pathological fracture converts to ICD-9-CM V13.51 (hx pathological fracture). The mapping is approximate, so confirm the match fits the documentation.
