Z87.760 — Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations

Billable

Is Z87.760 billable?

Yes — Z87.760 is billable for FY2027. Z87.760 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z87.760 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z87.760 at a glance

Code	Z87.760
Description	Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

What Medicare edits apply to Z87.760?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z87.760 directly.

Cannot be a principal diagnosis — MCE edit 9

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 Z87.760 group to?

Z87.760 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 Z87.760 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z87.760. They show the wording a clinician may have documented, which often differs from the Tabular description.

History › personal › congenital malformation › diaphragmatic hernia
History › personal › congenital malformation › malformations › diaphragm NEC

Code first — inherited from Z87

The underlying condition below must be sequenced before Z87.760. Z87.760 describes a manifestation and cannot be the principal or first-listed diagnosis.

any follow-up examination after treatment (Z09)

Excludes2 — not included here — inherited from Z87.7

The conditions below are not part of Z87.760, but a patient may have both at the same time. When documentation supports it, Z87.760 and the excluded code may both be reported.

congenital malformations that have been partially corrected or repaired but which still require medical treatment - code to condition
other postprocedural states (Z98.-)
personal history of medical treatment (Z92.-)
presence of cardiac and vascular implants and grafts (Z95.-)
presence of other devices (Z97.-)
presence of other functional implants (Z96.-)
transplanted organ and tissue status (Z94.-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z87.760 is sequenced first depends on the reason for the encounter.

any follow-up examination (Z08-Z09)

How long has Z87.760 existed?

Z87.760 first appears in FY2023.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.