2026 ICD-10-CM Diagnosis Code Z30.011Encounter for initial prescription of contraceptive pills

ICD-10-CM Codes›Z00–Z99›Z30-Z39›Z30

ICD-10-CM Z30.011
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z30.011 is a billable ICD-10-CM diagnosis code for encounter for initial prescription of contraceptive pills. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as initial prescription of oral contraception done. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Contraceptive and procreative management.

Code Identity

ICD-10-CM Code
Z30.011
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for initial prescription of contraceptive pills
Short Description
Encounter for initial prescription of contraceptive pills
Same as the full description in the CMS dataset.
Parent Code
Z30.01
Encounter for initial prescription of contraceptives

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ30-Z39Persons encountering health services in circumstances related to reproduction
CategoryZ30Encounter for contraceptive management
This CodeZ30.011Encounter for initial prescription of contraceptive pills

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z30.011.

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)Billing

Z30.011 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Initial prescription of oral contraception done
  • OCP for non-contraceptive use
  • Oral contraceptive prescribed
  • Oral contraceptive started

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Contraception, contraceptive
      • initial prescription
        • pills
    • Prescription of contraceptives(initial)
      • pills

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC013
Contraceptive and procreative management
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Birth Control

Birth control, also known as contraception, is the use of medicines, devices, or surgery to prevent pregnancy. There are many different types. Some are reversible, while others are permanent. Some types can also help prevent sexually transmitted infections (STIs).

The full article covers:

  • What is birth control?
  • What are the different types of birth control?
  • What are some other forms of pregnancy prevention?
  • What is emergency contraception?
  • What else should I know about birth control?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z30.011 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V25.01 Prescrip-oral contracept
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z30.011Overview

Is Z30.011 (Encounter for initial prescription of contraceptives) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for initial prescription of contraceptive pills on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z30.011 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for initial prescription of contraceptive pills describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z30.011 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for initial prescription of contraceptive pills on inpatient claims.

What is the ICD-9 equivalent of Z30.011?

Under the General Equivalence Mappings, encounter for initial prescription of contraceptive pills converts to ICD-9-CM V25.01 (prescrip-oral contracept). The mapping is a direct match.