Z31.6
Z31.6 — Encounter for general counseling and advice on procreation
Non-billable headerICD-10-CM
Z31.6 is a non-billable header ICD-10-CM code for encounter for general counseling and advice on procreation. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with Z31.6
These codes carry an Excludes1 note pointing at Z31.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z31.6 alone.
- Z71.83Encounter for nonprocreative genetic counseling
Risk adjustment
Z31.6 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.
Code to one of these instead Z31.6
3 child codes. Green means billable.
Related codes at this level
Codes that share Z31. If Z31.6 is not quite right, the correct code is usually one of these.
- Z31.0Encounter for reversal of previous sterilization
- Z31.4Encounter for procreative investigation and testing
- Z31.5Encounter for procreative genetic counseling
- Z31.7Encounter for procreative management and counseling for gestational carrier
- Z31.8Encounter for other procreative management
- Z31.9Encounter for procreative management, unspecified
Questions about Z31.6
- Is Z31.6 a billable ICD-10-CM code?
- No. Z31.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z31.6 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).