2025 ICD-10-CM code Z87.31
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Personal history of diseases of the musculoskeletal system and connective tissue Factors influencing health status and contact with health services (Z00-Z99) Feed
Personal history of a healed, nontraumatic fracture.
Modifiers are not typically applicable to ICD-10-CM codes like Z87.31.
Medical necessity for this code is established when the patient's history of healed fracture is directly relevant to the current clinical decision-making process. For example, a past fracture might be relevant to assessing risk of future fractures, or inform treatment for a related condition.
The clinical responsibility for coding Z87.31 lies with the physician or other qualified healthcare professional documenting the patient's history.The code is typically assigned when a patient's past fracture history is relevant to their current care and is documented properly.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z87.31 is under the broader category Z87 - Personal history of other diseases and conditions, and more specifically within Z87.3 - Personal history of diseases of the musculoskeletal system and connective tissue.
In simple words: This code means the patient has had a bone fracture in the past that was not caused by an accident or injury and has completely healed.The doctor may use this code to note this information in the patient's medical record, relevant to their current health status.
This code signifies a documented history of a fracture that has healed without being caused by trauma.It indicates a past occurrence of a bone fracture that is not due to an accident or injury. The fracture must be fully healed at the time of coding.This code is used when the fracture itself is not the reason for the current encounter but is relevant to the patient's overall health status or management.
Example 1: A 65-year-old female patient presents for a routine check-up.Her medical history reveals a past fracture of the left radius that healed completely several years ago, not related to any trauma. The physician documents this information as relevant to her osteoporosis risk factors., A 30-year-old male patient is seen for a pre-operative evaluation before an elective surgery. During the history taking, he mentions a previous stress fracture in his tibia that healed fully without any complications. The physician includes this information in his report., A 70-year-old patient who has previously had a pathological fracture of the femur (healed) is seen for a follow-up examination after receiving treatment for a newly diagnosed fracture. The past fracture is documented with Z87.311.
Proper documentation should include the location and type of fracture, date of occurrence, healing status, and confirmation that the fracture was not caused by trauma.Documentation may include old X-rays, medical records, and physician notes.
** This code should only be used when the fracture is fully healed. If the fracture is still in the process of healing, a more appropriate active fracture code should be used instead.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is an ICD-10-CM diagnostic code, not a procedural code.
- Specialties:Orthopedics, Geriatrics, Rheumatology
- Place of Service:Office, Hospital (Inpatient or Outpatient),Other healthcare settings