ICD Code Z87.81
ICD code Z87.81 is used to indicate a personal history of traumatic brain injury in a patient's medical record.
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What is ICD diagnosis code Z87.81
ICD code Z87.81 is a personal history of (healed) traumatic fracture, indicating that the patient has a past medical history of a bone fracture that has since healed.
When to use ICD code Z87.81
1. Documented personal history of traumatic brain injury
2. Patient has previously sustained a traumatic brain injury, regardless of current symptoms
3. No ongoing acute symptoms or sequelae directly attributable to the initial injury
4. The history of traumatic brain injury is clinically relevant to current care, risk assessment, or treatment planning
Billable CPT codes for ICD code Z87.81
Relevant CPT codes that may be used in conjunction with ICD code Z87.81 include:
- 99201–99215 (Evaluation and Management services)
- 99401–99404 (Preventive medicine counseling)
- 99381–99397 (Preventive medicine services, new and established patients)
- 99406–99409 (Smoking and tobacco use cessation counseling)
- 99408–99409 (Alcohol and/or substance abuse structured screening and brief intervention services)
The selection of the appropriate CPT code will depend on the specific clinical scenario and services provided.
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