2026 ICD-10-CM Diagnosis Code Z87.730Personal history of (corrected) cleft lip and palate

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z87

ICD-10-CM Z87.730
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z87.730 is a billable ICD-10-CM diagnosis code for personal history of (corrected) cleft lip and palate. 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: cleft lip. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z87.730
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of (corrected) cleft lip and palate
Short Description
Personal history of (corrected) cleft lip and palate
Same as the full description in the CMS dataset.
Parent Code
Z87.73
Personal history of (corrected) congenital malformations of digestive system

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 CodeZ87.730Personal history of (corrected) cleft lip and palate

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.730.

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

Z87.730 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: cleft lip
  • H/O: cleft palate
  • History of repair of cleft lip
  • History of repair of congenital cleft palate
  • History of surgical procedure on mouth
  • Postprocedural finding oral cavity
  • Previous cleft palate repair

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)
        • cleft lip (corrected)
    • History
      • personal (of)
        • cleft palate (corrected)

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

Cleft Lip and Palate

Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly. They happen early during pregnancy. A baby can have a cleft lip, a cleft palate, or both.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z87.730 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V13.64 Hx-cong malform-eye,face
Approximate The match is approximate rather than exact.

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 Z87.730Overview

Is Z87.730 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of (corrected) cleft lip and palate on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z87.730 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of (corrected) cleft lip and palate describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z87.730 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 (corrected) cleft lip and palate on inpatient claims.

What is the ICD-9 equivalent of Z87.730?

Under the General Equivalence Mappings, personal history of (corrected) cleft lip and palate converts to ICD-9-CM V13.64 (hx-cong malform-eye,face). The mapping is approximate, so confirm the match fits the documentation.