2025 ICD-10-CM code Z87.81
Personal history of a healed traumatic fracture.
This code is used to document a past medical history and does not typically factor into medical necessity determinations for current conditions.
The healthcare provider is responsible for accurately documenting the patient's history and ensuring that the code is used appropriately.
In simple words: This code indicates a past broken bone that has completely healed.
Personal history of a traumatic fracture that has healed. This code is used to document a past fracture that is no longer actively being treated.
Example 1: A patient presents for a routine check-up and mentions a broken arm from several years ago that healed completely. Z87.81 would be used to document this past fracture., A patient is being evaluated for knee pain. During the examination, they mention a healed tibia fracture from a car accident several years prior. The healed fracture is documented using Z87.81., A patient undergoing surgery for an unrelated condition reports a past healed femur fracture. Z87.81 is used to record this history.
Documentation should clearly state the type of fracture, when it occurred, and that it is healed. Supporting documentation, such as previous medical records or imaging reports, might be necessary.
** Excludes2: personal history of (healed) nontraumatic fracture (Z87.31-)
- Specialties:Any specialty might encounter patients with a history of healed fractures.
- Place of Service:Any