Z87.438 — Personal history of other diseases of male genital organs
Is Z87.438 billable?
Yes — Z87.438 is billable for FY2027. Z87.438 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z87.438 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z87.438 at a glance
| Code | Z87.438 |
|---|---|
| Description | Personal history of other diseases of male genital organs |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z87.438?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z87.438 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 Z87.438 group to?
Z87.438 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 Z87.438 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z87.438. They show the wording a clinician may have documented, which often differs from the Tabular description.
- History › personal › disease or disorder › genitalsystem NEC › male
Code first — inherited from Z87
The underlying condition below must be sequenced before Z87.438. Z87.438 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 Z87.438 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z87.438 existed?
Z87.438 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.