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Z87.828 ICD-10-CM Code: Personal history of other (healed) physical injury and trauma

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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)

Z87.828

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

Personal history of other (healed) physical injury and trauma

A patient's past medical history of other healed injuries or physical trauma.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z87.8Personal history of other specified conditions
Z87.82Personal history of other (healed) physical injury and trauma
Z87.828Personal history of other (healed) physical injury and trauma

Inclusion Terms

Official
  • Conditions classifiable to S00-T88, except traumatic fractures

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z87.828 in this effective period.

Related Child Codes

Official
Z87.820Personal history of traumatic brain injury
Z87.821Personal history of retained foreign body fully removed

Includes

Official

ICD-10-CM does not list Includes notes for Z87.828 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z87.828 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z87.828 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z87.828 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z87.828 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code for resolved physical injuries that don't fit other specific Z87.82 categories
Ensure the injury has healed; do not use for acute or ongoing trauma

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is Z87.828 an HCC code?

No. Z87.828 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

Z87.828 is the ICD-10-CM diagnosis code for personal history of other (healed) physical injury and trauma. A patient's past medical history of other healed injuries or physical trauma. Z87.828 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).

Z87.828 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.

Use this code for resolved physical injuries that don't fit other specific Z87.82 categories.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z87.828 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for resolved physical injuries that don't fit other specific Z87.82 categories
  • Ensure the injury has healed; do not use for acute or ongoing trauma

Child Codes

Code Hierarchy

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