Z31.5
Z31.5: Encounter for procreative genetic counseling
Billable / specific codeICD-10-CMPOA exempt
Z31.5 is a billable, specific ICD-10-CM code for encounter for procreative genetic counseling. It is valid for submission on a claim.
Check Z31.5 with the rest of the claim: free scrubberOther codes that can never be billed with Z31.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z71.83Encounter for nonprocreative genetic counseling
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z31.5 is named in 2 Medicare coverage policies: 0 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56199Billing and Coding: Molecular Pathology Proceduresnot covered
- A60409Billing and Coding: Molecular Pathology Proceduresnot covered
Alphabetic index entries that lead here
- Counseling›genetic›procreative NEC
- Encounter›genetic›counseling›procreative
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z31
- Z31.0Encounter for reversal of previous sterilization
- Z31.4Encounter for procreative investigation and testing
- Z31.6Encounter for general counseling and advice on procreation
- Z31.7Encounter for procreative management and counseling for gestational carrier
- Z31.8Encounter for other procreative management
- Z31.9Encounter for procreative management, unspecified