2026 ICD-10-CM Diagnosis Code Z87.312Personal history of (healed) stress fracture
Z87.312 is a billable ICD-10-CM diagnosis code for personal history of (healed) stress 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 Z87.312.
Present on Admission (POA)Billing
Z87.312 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 hip stress fracture
- History of stress fracture
- History of vertebral fracture
- History of vertebral stress fracture
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Personal history of (healed) fatigue fracture
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- History
- personal (of) - See Also: History, family (of);
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- History
- personal (of)
- fracture (healed)
- fatigue
- History
- personal (of)
- fracture (healed)
- stress
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 Z87.312 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z87.312Overview
Is Z87.312 (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) stress fracture on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z87.312 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of (healed) stress fracture describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z87.312 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) stress fracture on inpatient claims.
What is the ICD-9 equivalent of Z87.312?
Under the General Equivalence Mappings, personal history of (healed) stress fracture converts to ICD-9-CM V13.52 (hx stress fracture). The mapping is a direct match.
