Encounter for procreative management
In Persons encountering health services in circumstances related to reproduction (Z30-Z39), chapter 21: Factors Influencing Health Status and Contact with Health Services
20 billable codes under Z31: none are a CC or MCC; none map to an HCC.
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.
All codes under Z31
Z31 can't be used on a claim. Pick a billable code below; grey headings group them.
- Z31.0Encounter for reversal of previous sterilization
- Z31.4Encounter for procreative investigation and testing
- Z31.41Encounter for fertility testing
- Z31.42Aftercare following sterilization reversal
- Z31.43Encounter for genetic testing of female for procreative management
- Z31.430Encounter of female for testing for genetic disease carrier status for procreative management
- Z31.438Encounter for other genetic testing of female for procreative management
- Z31.44Encounter for genetic testing of male for procreative management
- Z31.440Encounter of male for testing for genetic disease carrier status for procreative management
- Z31.441Encounter for testing of male partner of patient with recurrent pregnancy loss
- Z31.448Encounter for other genetic testing of male for procreative management
- Z31.49Encounter for other procreative investigation and testing
- Z31.5Encounter for procreative genetic counseling
- Z31.6Encounter for general counseling and advice on procreation
- Z31.61Procreative counseling and advice using natural family planning
- Z31.62Encounter for fertility preservation counseling
- Z31.69Encounter for other general counseling and advice on procreation
- Z31.7Encounter for procreative management and counseling for gestational carrier
- Z31.8Encounter for other procreative management
- Z31.81Encounter for male factor infertility in female patient
- Z31.82Encounter for Rh incompatibility status
- Z31.83Encounter for assisted reproductive fertility procedure cycle
- Z31.84Encounter for fertility preservation procedure
- Z31.89Encounter for other procreative management
- Z31.9Encounter for procreative management, unspecified
Z31 MS-DRGs
As the principal diagnosis, the billable codes under Z31 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 951 Other Factors Influencing Health Status (19 of 20 codes)
- DRG 729 Other Male Reproductive System Diagnoses with CC/MCC (1 of 20 codes)
- DRG 730 Other Male Reproductive System Diagnoses without CC/MCC (1 of 20 codes)
- DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (1 of 20 codes)
- DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (1 of 20 codes)
- DRG 760 Menstrual and Other Female Reproductive System Disorders with CC/MCC (1 of 20 codes)
- DRG 761 Menstrual and Other Female Reproductive System Disorders without CC/MCC (1 of 20 codes)
Other codes that refer to Z31
Notes on these codes point to Z31.
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.