Z87.768 — Personal history of other specified (corrected) congenital malformations of integument, limbs and musculoskeletal system
Is Z87.768 billable?
Yes, but Z87.768 is an unspecified code. Z87.768 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Z87.768 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Z87.768 — the more specific alternatives are listed below.
More specific alternatives
- Z87.760Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations
- Z87.761Personal history of (corrected) gastroschisis
- Z87.762Personal history of (corrected) prune belly malformation
- Z87.763Personal history of other (corrected) congenital abdominal wall malformations
Z87.768 at a glance
| Code | Z87.768 |
|---|---|
| Description | Personal history of other specified (corrected) congenital malformations of integument, limbs and musculoskeletal system |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z87.768?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z87.768 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 Z87.768 group to?
Z87.768 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 Z87.768 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z87.768. They show the wording a clinician may have documented, which often differs from the Tabular description.
- History › personal › congenital malformation › integument
- History › personal › congenital malformation › limb
- History › personal › congenital malformation › musculoskeletal system
- History › personal › congenital malformation › malformations › integument
- History › personal › congenital malformation › malformations › limbs
- History › personal › congenital malformation › malformations › musculoskeletal system
Code first — inherited from Z87
The underlying condition below must be sequenced before Z87.768. Z87.768 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 Z87.768, but a patient may have both at the same time. When documentation supports it, Z87.768 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 Z87.768 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z87.768 existed?
Z87.768 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.
What other codes are in the Z87.76 family? (4)
- Z87.760Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations
- Z87.761Personal history of (corrected) gastroschisis
- Z87.762Personal history of (corrected) prune belly malformation
- Z87.763Personal history of other (corrected) congenital abdominal wall malformations