2027 ICD-10-CM Diagnosis Code Z30.40Encounter for surveillance of contraceptives, unspecified
Z30.40 is a billable ICD-10-CM diagnosis code for encounter for surveillance of contraceptives, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. 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 contraception failure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Contraceptive and procreative management.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z30.40.
Present on Admission (POA)Billing
Z30.40 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons encountering health services in circumstances related to reproduction (Z30-Z39).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Contraception failure
- Difficulty obtaining contraception
- Dissatisfaction with contraception method
- Inconsistent use of contraception methods
- Surveillance of contraception done
- Surveillance of prescribed method of contraception done
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z30.40: its own notes plus those printed at Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z30.40, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming Z30.40: they are not reported together with it, unless the two conditions are unrelated.
- Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmsurveillance of contraception (Z30.4-) names Z30.4-, which includes this code
- Z30.01 Encounter for initial prescription of contraceptivesencounter for surveillance of contraceptives (Z30.4-) names Z30.4-, which includes this code
- Z92.0 Personal history of contraceptioncounseling or management of current contraceptive practices (Z30.-) names Z30.-, which includes this code
Excludes2 5
These codes carry an Excludes2 note naming Z30.40: its condition is not part of those codes, and both may be reported when the patient has both.
- Z01.4 Encounter for gynecological examinationroutine examination for contraceptive maintenance (Z30.4-) names Z30.4-, which includes this code
- Z76.0 Encounter for issue of repeat prescriptionrepeat prescription for contraceptive (Z30.4-) names Z30.4-, which includes this code
- Block Z00-Z13 Persons encountering health services for examinations
- Z70 Counseling related to sexual attitude, behavior and orientation
- Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
maintenance Z30.40
repeat Z30.40
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 Z30.40 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z30.40Overview
What is the ICD-10 code for encounter for surveillance of contraceptives, unspecified?
The ICD-10-CM code for encounter for surveillance of contraceptives, unspecified is Z30.40 (sometimes written as Z3040). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z30.40 (Encounter for surveillance of contraceptives) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for surveillance of contraceptives, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z30.40 group to?
On inpatient claims, encounter for surveillance of contraceptives, unspecified maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z30.40 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for surveillance of contraceptives, unspecified describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z30.40 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 surveillance of contraceptives, unspecified on inpatient claims. The code appears in the Persons encountering health services in circumstances related to reproduction (Z30-Z39) range of the CMS exempt list.
