2025 ICD-10-CM code Z87.310
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) Factors influencing health status and contact with health services (Z00-Z99) Feed
This code signifies a patient's history of a healed osteoporosis fracture.
The medical necessity for coding Z87.310 arises from the need to accurately reflect the patient's complete medical history, which is crucial for future treatment decisions, risk assessment, and overall healthcare management. This information helps in determining appropriate preventive measures against future fractures and managing osteoporosis.
The clinical responsibility involves documenting the patient's history of a healed osteoporosis fracture. This may involve reviewing medical records, imaging studies (X-rays), and consulting with the patient to confirm the fracture's healing status.The physician or healthcare provider ensures that the healed fracture does not currently represent an active medical concern.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z87.310 falls under the broader category of Z87 (Personal history of other diseases and conditions) and the subcategory Z87.3 (Personal history of fracture).
In simple words: This code means the patient had a broken bone in the past due to weak bones (osteoporosis), and the bone has healed completely.
ICD-10-CM code Z87.310 denotes a personal history of a healed fracture resulting from osteoporosis.This code is used to document the presence of a past fracture attributed to osteoporosis, where the fracture has completely healed and is no longer an active medical concern.It's crucial to note that this code should only be applied when the fracture is considered healed and the patient is not currently experiencing any issues related to the past fracture.The code should not be used to describe ongoing issues or complications of the previously healed fracture.
Example 1: A 70-year-old female patient presents for a routine checkup.Her medical history reveals a healed compression fracture of the T12 vertebra due to osteoporosis five years prior.Code Z87.310 is used to document this history., A 65-year-old male patient has a history of a healed femoral neck fracture due to osteoporosis treated with surgery two years ago. Currently asymptomatic.Code Z87.310 is appropriate to document this., A patient with a history of multiple fragility fractures related to osteoporosis is undergoing a bone density scan. Code Z87.310 can be used to represent the history of these healed fractures.
Medical records documenting the original fracture diagnosis, including imaging reports (X-rays, CT scans) showing the fracture and subsequent healing.Any surgical reports or treatment notes related to the fracture management.A clinical note verifying the fracture's healed status and absence of current complications.Documentation should clearly indicate the osteoporosis as the underlying cause of the fracture.
** Z87.310 is a secondary code and should not be the principal diagnosis unless the encounter is solely for the purpose of managing the effects of the healed fracture or osteoporosis.When applicable, the provider should also code the underlying osteoporosis (e.g., M80, M81, M80.0).
- Payment Status: Active
- Specialties:Endocrinology, Rheumatology, Orthopedics, Geriatrics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Skilled Nursing Facility