2026 ICD-10-CM Diagnosis Code Z87.312Personal history of (healed) stress fracture

ICD-10-CM CodesZ00–Z99Z77-Z99Z87

ICD-10-CM Z87.312
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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

ICD-10-CM Code
Z87.312
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of (healed) stress fracture
Short Description
Personal history of (healed) stress fracture
Same as the full description in the CMS dataset.
Parent Code
Personal history of (healed) nontraumatic fracture

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 CodeZ87.312Personal history of (healed) stress fracture

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.312.

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

Z87.312 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

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)
        • fracture (healed)
          • fatigue
    • History
      • personal (of)
        • fracture (healed)
          • stress

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

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.

ICD-9-CM
V13.52 Hx stress fracture
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 Z87.312Overview

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.