Z87.893 — Personal history of gender detransition

BillableNew in FY2027

Is Z87.893 billable?

Yes — Z87.893 is billable for FY2027. Z87.893 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z87.893 may be submitted for encounters from October 1, 2026 through September 30, 2027. Z87.893 is new in FY2027.

Z87.893 at a glance

Code	Z87.893
Description	Personal history of gender detransition
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
FY2027 change	New in FY2027

What Medicare edits apply to Z87.893?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z87.893 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 Z87.893 group to?

Z87.893 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

Code also

Two codes may be needed to describe the condition fully. Whether Z87.893 is sequenced first depends on the reason for the encounter.

personal history of sex reassignment (Z87.890-)

Code first — inherited from Z87

The underlying condition below must be sequenced before Z87.893. Z87.893 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 Z87.893, but a patient may have both at the same time. When documentation supports it, Z87.893 and the excluded code may both be reported.

personal history of self harm (Z91.5-)

Code also — inherited from Z77-Z99