2025 ICD-10-CM code Z87.890
(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 Factors influencing health status and contact with health services (Z00-Z99) Feed
Personal history of sex reassignment surgery.
Not applicable to ICD-10 codes.
The code Z87.890 itself does not indicate medical necessity. Medical necessity would be determined based on the patient's condition, treatment plan, and specific medical requirements at the time of each encounter. This code is only used to document the past surgical history. Other codes detailing current medical issues would drive necessity for services.
The clinical responsibility for this code would depend on the specific services rendered. This could include surgeons, endocrinologists, psychologists, and other healthcare professionals involved in the patient's care.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z87.890 is within the broader category of Z87 (Personal history of other diseases and conditions) and specifically falls under Z87.8 (Personal history of other specified conditions).
In simple words: This code means the person had surgery to change their body to match how they feel about their gender.
This code indicates a documented history of sex reassignment surgery (SRS).It signifies that the patient has undergone surgical procedures to align their physical characteristics with their gender identity. This code is used to describe the patient's medical history and is not a diagnosis in itself.A corresponding procedure code should be used if a procedure was performed during the encounter.It should be noted that this code is not used to support medical necessity for gender-affirming care procedures.
Example 1: A patient presents for a routine checkup after completing sex reassignment surgery.Z87.890 would be used to document their history of sex reassignment.Additional codes would reflect the reason for this visit, for example a procedure code if a follow-up procedure was performed., A patient is admitted to the hospital for a complication related to prior sex reassignment surgery. Z87.890 would be used to document the surgical history, along with codes for the complication and any procedures performed to address it., A patient who underwent sex reassignment surgery years prior, presents to their primary care physician with an unrelated medical complaint. Z87.890 would be included in the medical record to provide a complete picture of the patient's medical history, while other codes would reflect the new complaint.
Complete medical records documenting prior sex reassignment surgery.This may include operative reports, pathology reports, and other relevant clinical documentation.
** Always ensure that the use of Z87.890 is clinically appropriate.This code should be used in conjunction with other appropriate codes (e.g., diagnosis codes, procedure codes) to create a complete and accurate clinical picture.Remember, this code alone does not justify the medical necessity of any service or procedure.
- Revenue Code: Revenue codes will vary based on the specific services provided and the payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes. RVUs are associated with CPT codes, which would describe the procedures undertaken during sex reassignment surgery.The RVU value will vary greatly dependent on the specific services rendered.
- Global Days : Not applicable to ICD-10 codes. Global periods apply to surgical procedure codes (CPT), not diagnostic codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule : Not applicable to ICD-10 codes.
- Specialties:Endocrinology, Surgery, Urology, Psychology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center