Z87.890 — Personal history of sex reassignment
Can I still bill Z87.890?
No — Z87.890 stopped being billable on October 1, 2026. Z87.890 still exists in ICD-10-CM but was subdivided for FY2027 and became a non-billable header code. Because Z87.890 still appears in a code lookup, this change is easy to miss — but submitting it on or after October 1, 2026 will be denied for lack of specificity. Use one of the more specific codes below instead.
Z87.890 at a glance
| Code | Z87.890 |
|---|---|
| Description | Personal history of sex reassignment |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| FY2027 change | Subdivided in FY2027 — no longer billable |
How is Z87.890 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z87.890. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Sex › reassignment surgery status
- Status › sex reassignment surgery status (post)
- History › personal › sex reassignment
- History › personal › surgery NEC › sex reassignment
Inclusion terms
Alternative wording in documentation that is classified to Z87.890.
- Personal history of gender transition
Code first — inherited from Z87
The underlying condition below must be sequenced before Z87.890. Z87.890 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 Z87.8
The conditions below are not part of Z87.890, but a patient may have both at the same time. When documentation supports it, Z87.890 and the excluded code may both be reported.
- personal history of self harm (Z91.5-)
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z87.890 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
What codes fall under Z87.890? (5)
How long has Z87.890 existed?
Z87.890 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.