Z87.890 Personal history of sex reassignment

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z87 Personal history of other diseases and conditions

Code first

• any follow-up examination after treatment (Z09)

Applies from Z87.8 Personal history of other specified conditions

Excludes2 (not included here)

• personal history of self harm (Z91.5-)

MS-DRG index

Defines the logic of DRG(s) 887 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 302.50 Trans-sexualism with unspecified sexual history (approximate)

Code annotations containing back-references to Z87.890

Back-references to Z87.890

• Use Additional: F64.1 Dual role transvestism ("code to identify sex reassignment status (Z87.890)")
• Type 2 Excludes: Z78 Other specified health status ("sex reassignment status (Z87.890)")
• Type 1 Excludes: Z90.7 Acquired absence of genital organ(s) ("personal history of sex reassignment (Z87.890)")

Back-references to Z87

• Use Additional: Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm ("code to identify any applicable history of disease code (Z86.-, Z87.-)")

Diagnosis Index entries for Z87.890

• History › personal (of) › sex reassignment
• History › personal (of) › surgery NEC › sex reassignment
• Sex › reassignment surgery status
• Status (post) › sex reassignment surgery status

Nearby codes

• Z87.82 Personal history of other (healed) physical injury and trauma
• Z87.820 Personal history of traumatic brain injury
• Z87.821 Personal history of retained foreign body fully removed
• Z87.828 Personal history of other (healed) physical injury and trauma
• Z87.89 Personal history of other specified conditions
• Z87.890 Personal history of sex reassignment (this code)
• Z87.891 Personal history of nicotine dependence
• Z87.892 Personal history of anaphylaxis
• Z87.898 Personal history of other specified conditions