Z87.430 — Personal history of prostatic dysplasia
Is Z87.430 billable?
Yes — Z87.430 is billable for FY2027. Z87.430 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z87.430 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z87.430 at a glance
| Code | Z87.430 |
|---|---|
| Description | Personal history of prostatic dysplasia |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z87.430?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z87.430 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z87.430 group to?
Z87.430 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z87.430 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z87.430. They show the wording a clinician may have documented, which often differs from the Tabular description.
- History › personal › prostatic dysplasia
- History › personal › dysplasia › prostatic
Excludes1 — never code together
The conditions below can never be reported together with Z87.430 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- personal history of malignant neoplasm of prostate (Z85.46)
Code first — inherited from Z87
The underlying condition below must be sequenced before Z87.430. Z87.430 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any follow-up examination after treatment (Z09)
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z87.430 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z87.430 existed?
Z87.430 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.