Z87.19
BillablePersonal history of other diseases of the digestive system
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z87.19 an HCC code?
No. Z87.19 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z87.19 is the ICD-10-CM diagnosis code for personal history of other diseases of the digestive system. A patient has a history of other digestive system diseases (such as gastritis, inflammatory bowel disease, or gallstones) that may influence current care. Z87.19 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).
Z87.19 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This is a catch-all code for digestive history not specified elsewhere; use Z87.11 specifically for peptic ulcer disease when applicable.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z87.19 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a catch-all code for digestive history not specified elsewhere; use Z87.11 specifically for peptic ulcer disease when applicable.
- •Specify the actual digestive condition in documentation to provide context for medication interactions and dietary considerations.