Z31

Z31: Encounter for procreative management

Non-billable headerICD-10-CM

Z31 is a non-billable header ICD-10-CM code for encounter for procreative management. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

complications associated with artificial fertilization (N98.-)
female infertility (N97.-)
male infertility (N46.-)

Other codes that can never be billed with Z31

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z71.83Encounter for nonprocreative genetic counseling
Z13.7Encounter for screening for genetic and chromosomal anomalies
Z30.8Encounter for other contraceptive management
Z48.816Encounter for surgical aftercare following surgery on the genitourinary system
Z33.3Pregnant state, gestational carrier

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z31

7 child codes. Green means billable.