2027 ICD-10-CM Diagnosis Code Z87.68Personal history of other (corrected) conditions arising in the perinatal period

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z87

ICD-10-CM Z87.68
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z87.68 is a billable ICD-10-CM diagnosis code for personal history of other (corrected) conditions arising in the perinatal period. 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 fetal growth restriction. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z87.68
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of other (corrected) conditions arising in the perinatal period
Short Description
Pers hx of other conditions arising in the perinatal period
Parent Code
Z87.6
Personal history of certain (corrected) conditions arising in the perinatal period

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 CodeZ87.68Personal history of other (corrected) conditions arising in the perinatal period

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.68.

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

Z87.68 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.

  • Fetal growth restriction
  • Intrauterine growth retardation, micrognathia, short stature, facial dysmorphism, rhizomelic shortening syndrome
  • Rhizomelia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z87.68: its own notes plus those printed at Z87.6, Z87, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Z87.6 Personal history of certain (corrected) conditions arising in the perinatal period applies to 2 codes
  • personal history of (corrected) congenital malformations (Z87.7-)

Code First

The underlying condition named in the note is sequenced before this code.

From Z87 Personal history of other diseases and conditions applies to 54 codes
  • any follow-up examination after treatment (Z09)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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 Z87.68, its category, or a range that includes it.

Use Additional Code 1

These codes say to use an additional code from the note, and Z87.68 is one of the codes named.

  • Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
    code 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.

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

Code History & ChangesHistory

Replacement Z87.68 replaces the following previously assigned code(s):

  • Z87.898 - Personal history of other specified conditions
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z87.68Overview

Is Z87.68 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of other (corrected) conditions arising in the perinatal period on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z87.68 group to?

On inpatient claims, personal history of other (corrected) conditions arising in the perinatal period 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 Z87.68 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of other (corrected) conditions arising in the perinatal period describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z87.68 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 other (corrected) conditions arising in the perinatal period 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.

Can Z87.68 be reported with a code from Z87.7?

Not as a rule. The Excludes1 note at Z87.6, which applies to Z87.68, lists "personal history of (corrected) congenital malformations (Z87.7-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).