ICDcodes.org
FY2027

Z98.870Personal history of in utero procedure during pregnancy

Billable

Is Z98.870 billable?

Yes — Z98.870 is billable for FY2027. Z98.870 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z98.870 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z98.870 at a glance

CodeZ98.870
DescriptionPersonal history of in utero procedure during pregnancy
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z98.870?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z98.870 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 Z98.870 group to?

Z98.870 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 Z98.870 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z98.870. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Historypersonalin utero procedure during pregnancy
  • Historypersonalprocedure during pregnancy

Excludes2 — not included here

The conditions below are not part of Z98.870, but a patient may have both at the same time. When documentation supports it, Z98.870 and the excluded code may both be reported.

  • complications from in utero procedure for current pregnancy (O35.7)
  • supervision of current pregnancy with history of in utero procedure during previous pregnancy (O09.82-)

Excludes2 — not included here — inherited from Z98

The conditions below are not part of Z98.870, but a patient may have both at the same time. When documentation supports it, Z98.870 and the excluded code may both be reported.

  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z98.870 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

How long has Z98.870 existed?

Z98.870 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.

What other codes are in the Z98.87 family? (1)