2026 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 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. 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 other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- H/O: hip fracture
- History of fracture
- 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
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 2 Excludes
- personal history of healed nontraumatic fracture Z87.31
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- History
- personal (of) - See Also: History, family (of);
- traumatic - Z87.81
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- History
- personal (of)
- fracture (healed)
- traumatic
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
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, 2025 through September 30, 2026.
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.
What is the ICD-9 equivalent of Z87.81?
Under the General Equivalence Mappings, personal history of (healed) traumatic fracture converts to ICD-9-CM V15.51 (hx traumatic fracture). The mapping is a direct match.
