Z87.761
BillablePersonal history of (corrected) gastroschisis
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z87.761 an HCC code?
No. Z87.761 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
Z87.761 is the ICD-10-CM diagnosis code for personal history of (corrected) gastroschisis. A person who previously had gastroschisis, a birth defect where abdominal organs protrude through an opening in the abdominal wall, that has been surgically repaired. Z87.761 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).
Z87.761 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.
Gastroschisis is typically repaired in infancy; this code documents the corrected condition in older patients.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z87.761 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Gastroschisis is typically repaired in infancy; this code documents the corrected condition in older patients
- •Document any complications or sequelae from the original defect or repair in the medical record