ICD-10-CM Billable Code

Z87.11

Personal history of peptic ulcer disease

Clinical Classification Guidelines

Medical Intelligence & Overview

The ICD-10 code Z87.11 refers to individuals who have a personal history of peptic ulcer disease. This indicates that in the past, the person was diagnosed with and treated for a peptic ulcer, which is a sore that develops on the lining of the stomach or the upper part of the small intestine. While the ulcer itself may no longer be active, having a previous history can influence future health and treatment considerations. This coding helps healthcare providers document past medical conditions that may impact patient care and management.

Causes & Symptoms

Clinical Causes: Previous infection with Helicobacter pylori bacteria Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin Excess stomach acid production Smoking and alcohol consumption Stress and certain lifestyle factors Other medical conditions like Zollinger-Ellison syndrome

Key Symptoms: Burning pain in the stomach area, especially between meals or at night Nausea and vomiting Blood in vomit or black, tarry stools Feeling bloated or full after eating Loss of appetite Unintended weight loss Anemia symptoms such as fatigue or weakness

Diagnostic & Treatment

Diagnosis Path: The diagnosis of a past peptic ulcer is primarily based on the patient's medical history and previous treatments. When current symptoms are present, diagnostic procedures may include:

Treatment Protocols: While a history of peptic ulcer disease no longer requires active treatment unless new symptoms develop, management focuses on preventing recurrence and addressing risk factors. Strategies include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Z87.11 a billable ICD-10 code?
Yes, Z87.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Z87.11?
Clinical documentation must specify the nature of Personal history of peptic ulcer disease and any associated comorbidities for accurate reporting.

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