Z31.43

Z31.43: Encounter for genetic testing of female for procreative management

Non-billable headerICD-10-CM

Z31.43 is a non-billable header ICD-10-CM code for encounter for genetic testing of female for procreative management. 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.

nonprocreative genetic testing (Z13.7-)

Use additional code

Add a secondary code to capture the detail described below.

code for recurrent pregnancy loss, if applicable (N96, O26.2-)

Excludes1 inherited from the categories above Z31.43

A category’s note binds every code beneath it.

Written on Z31.4: Encounter for procreative investigation and testing

postvasectomy sperm count (Z30.8)

Excludes2 inherited from the categories above Z31.43

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.-)

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 Z31.43

2 child codes. Green means billable.