2024 ICD-10-CM Diagnosis Code Z31.42

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)

Z31.42 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator	Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Convert Z31.42 to ICD-9-CM

• ICD-9-CM Code: V26.22 - Sterilzation rev aftcare

Patient Education

Tubal Ligation

Tubal ligation (getting your "tubes tied") is a type of surgery. It prevents a woman from getting pregnant. It is a permanent form of birth control, and is effective right away.

The surgery cuts, ties, or seals the fallopian tubes. This blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it, and the egg cannot reach the uterus. You get the surgery in a hospital or outpatient surgical center. It usually takes about 30 minutes. Almost all women go home the same day. They can return to most normal activities within a few days.

Tubal ligation can sometimes be reversed. The reversal is major surgery, and does not always work.

[Learn More in MedlinePlus]

Vasectomy

A vasectomy is a type of minor surgery that prevents a man from being able to get a woman pregnant. It is a permanent form of birth control.

A vasectomy works by cutting the vas deferens, which are the tubes that carry the sperm out of the testicles. Then the sperm can no longer reach the semen. Semen is the fluid that the penis ejaculates (releases during orgasm). Since there are no sperm, the man cannot get a woman pregnant.

The surgery is quick; it usually takes less than 30 minutes. You will probably be able to go home the same day. You may have some discomfort, bruising, and swelling for a few days. In most cases, you will fully recover in less than a week.

A vasectomy is one of the most effective forms of birth control. But it takes about three months (or about 20 ejaculations) before it is effective. You will still need to use other birth control until you know that your semen doesn't have any more sperm in it. After two to three months, your health care provider will test your semen to make sure that there are no sperm in it.

Having a vasectomy does not affect your sex life. It does not decrease your sex drive. And it will not affect your ability to get an erection or have an orgasm.

Vasectomies can sometimes be reversed, but not always. It is done with a procedure to reconnect the vas deferens. Another option if you decide to have children later might be to have sperm taken from your testicles. The sperm could then be used for in vitro fertilization (IVF). However, this may not always work. It's also important to know that both a vasectomy reversal and IVF are expensive.

Having a vasectomy does not protect you from sexually transmitted diseases (STDS), such as HIV. Using a condom every time you have anal, vaginal, or oral sex is the only way to protect against STDs.

NIH: National Institute of Child Health and Human Development

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.