2025 ICD-10-CM code Z87.01
Personal history of recurrent pneumonia.
Z87.01 is used to document a patient's past medical history. While it doesn't justify procedures or treatments on its own, it provides valuable context for the patient's current condition and may influence medical decision-making.
- Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
In simple words: The patient has had pneumonia more than once.
Personal history of pneumonia (recurrent).This code indicates that the patient has a history of pneumonia that has occurred more than once.
Example 1: A patient presents for a routine check-up and mentions having had pneumonia twice in the past. The physician documents this history using Z87.01., A patient with a history of recurrent pneumonia is being evaluated for a new cough. The physician includes Z87.01 in the diagnostic coding to reflect the patient's past respiratory issues., A patient is admitted to the hospital with pneumonia.The physician documents the patient's history of multiple previous pneumonia episodes with Z87.01, along with the code for the current pneumonia (e.g., J18.9 Pneumonia, unspecified organism).
Documentation of the previous pneumonia diagnoses is essential. Ideally, this should include dates of diagnoses, types of pneumonia if known, and any complications experienced. Clear documentation of "recurrent" or multiple episodes is necessary to support the use of Z87.01 rather than the more general personal history of pneumonia code.
** Code first any follow-up examination after treatment (Z09).
- Specialties:Internal Medicine, Family Medicine, Pulmonary Medicine, Pediatrics, Geriatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Skilled Nursing Facility, Nursing Facility, Home Health