Z31.4

Z31.4: Encounter for procreative investigation and testing

Non-billable headerICD-10-CM

Z31.4 is a non-billable header ICD-10-CM code for encounter for procreative investigation and testing. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

postvasectomy sperm count (Z30.8)

Excludes2 inherited from the categories above Z31.4

Not part of this code, but both may be coded when both are present.

Written on Z31: Encounter for procreative management

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

Other codes that can never be billed with Z31.4

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

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

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 Z31.4

5 child codes. Green means billable.