2027 ICD-10-CM Diagnosis Code Z87.81Personal history of (healed) traumatic fracture
Z87.81 is a billable ICD-10-CM diagnosis code for personal history of (healed) traumatic fracture. 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. 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 Z87.81.
Present on Admission (POA)Billing
Z87.81 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.
- H/O: hip fracture
- History of fracture
- History of fracture of ethmoid bone
- History of fracture of frontal bone
- History of fracture of hip due to traumatic event
- History of fracture of left shoulder
- History of fracture of orbit
- History of fracture of parietal bone
- History of fracture of phalanx of thumb
- History of fracture of right shoulder
- History of fracture of shoulder
- History of fracture of sphenoid bone
- History of fracture of temporal bone
- History of injury of eye region
- History of traumatic vertebral fracture
- History of vertebral fracture
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z87.81: its own notes plus those printed at Z87.8, Z87, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- personal history of (healed) nontraumatic fracture (Z87.31-)
Code First
The underlying condition named in the note is sequenced before this code.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- 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 Z87.81, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming Z87.81: its condition is not part of those codes, and both may be reported when the patient has both.
Use Additional Code 1
These codes say to use an additional code from the note, and Z87.81 is one of the codes named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
personal (of) See Also: History, family (of);
traumatic Z87.81
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 Z87.81 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z87.81Overview
What is the ICD-10 code for personal history of (healed) traumatic fracture?
The ICD-10-CM code for personal history of (healed) traumatic fracture is Z87.81 (sometimes written as Z8781). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z87.81 (Personal history of other specified conditions) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of (healed) traumatic fracture on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z87.81 group to?
On inpatient claims, personal history of (healed) traumatic fracture 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 Z87.81 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of (healed) traumatic fracture describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z87.81 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) traumatic fracture 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.
