Skip to content

Z87.790 ICD-10-CM Code: Personal history of (corrected) congenital malformations of face and neck

Z87.790 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z87.790

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Personal history of (corrected) congenital malformations of face and neck

A patient's past medical history of a corrected birth defect affecting the face or neck.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z87.7Personal history of (corrected) congenital malformations
Z87.79Personal history of other (corrected) congenital malformations
Z87.790Personal history of (corrected) congenital malformations of face and neck

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z87.790 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z87.790 in this effective period.

Related Child Codes

Official
Z87.798Personal history of other (corrected) congenital malformations

Includes

Official

ICD-10-CM does not list Includes notes for Z87.790 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z87.790 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z87.790 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z87.790 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z87.790 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code indicates the condition has been corrected; do not use if the defect is still active
Document the specific facial or neck malformation for clarity in the medical record

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is Z87.790 an HCC code?

No. Z87.790 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z87.790
Description
Personal history of (corrected) congenital malformations of face and neck
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z87.790 is the ICD-10-CM diagnosis code for personal history of (corrected) congenital malformations of face and neck. A patient's past medical history of a corrected birth defect affecting the face or neck. Z87.790 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).

Z87.790 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 indicates the condition has been corrected; do not use if the defect is still active.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z87.790 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code indicates the condition has been corrected; do not use if the defect is still active
  • Document the specific facial or neck malformation for clarity in the medical record

Child Codes

Code Hierarchy

Work Z87.790 in HCC Buddy

Open Z87.790 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.