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Z87.2

Billable

Personal history of diseases of the skin and subcutaneous tissue

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Z87.2 an HCC code?

No. Z87.2 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

Z87.2 is the ICD-10-CM diagnosis code for personal history of diseases of the skin and subcutaneous tissue. A patient has previously had diseases of the skin or underlying tissue (such as severe dermatitis, psoriasis, or skin infections) that have resolved. Z87.2 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).

Z87.2 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 code covers a broad range of skin and subcutaneous tissue conditions; document the specific condition for better clinical clarity.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z87.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code covers a broad range of skin and subcutaneous tissue conditions; document the specific condition for better clinical clarity.
  • Use this code to flag patients at risk for recurrence of skin conditions or those with residual scarring or pigmentation changes.

Excludes 2 — Not included here, may code separately

  • personal history of diabetic foot ulcer (Z86.31)

Code Hierarchy

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