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Z31.42

Z31.42Aftercare following sterilization reversal

Billable / specific codeICD-10-CMPOA exempt

Z31.42 is a billable, specific ICD-10-CM code for aftercare following sterilization reversal. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Sperm count following sterilization reversal

Other codes that can never be billed with Z31.42

These codes carry an Excludes1 note pointing at Z31.42. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z31.42 alone.

  • Z30.8Encounter for other contraceptive management
  • Z48.816Encounter for surgical aftercare following surgery on the genitourinary system

Risk adjustment

Z31.42 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z31.42 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z31.42.

  • Tuboplasty, after previous sterilizationaftercare
  • Vasoplasty, after previous sterilizationaftercare
  • Admissionpoststerilizationaftercare
  • Admissionrestoration of organ continuityaftercare
  • Admissiontuboplasty following previous sterilizationaftercare
  • Admissionvasoplasty following previous sterilizationaftercare
  • Restorationorgan continuity from previous sterilizationaftercare
  • Sperm countspostvasectomyreversal

Related codes at this level

Codes that share Z31.4. If Z31.42 is not quite right, the correct code is usually one of these.

Questions about Z31.42

Is Z31.42 a billable ICD-10-CM code?
Yes. Z31.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z31.42 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in circumstances related to reproduction (Z30-Z39).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.