ICD-10 Diagnosis Code Z31.430

Encntr fem for test for genetc dis carrier stat for pro mgmt

Diagnosis Code Z31.430

ICD-10: Z31.430
Short Description: Encntr fem for test for genetc dis carrier stat for pro mgmt
Long Description: Encounter of female for testing for genetic disease carrier status for procreative management
This is the 2019 version of the ICD-10-CM diagnosis code Z31.430

Valid for Submission
The code Z31.430 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in circumstances related to reproduction (Z30-Z39)
      • Encounter for procreative management (Z31)
Version 2019 Billable Code Diagnoses For Females Only Unacceptable Principal Diagnosis POA Exempt

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Diagnoses for females only - Diagnoses for females only.
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.

Convert to ICD-9
  • V26.31 - Fem genetic test dis car

Present on Admission (POA)
The code Z31.430 is exempt from POA reporting.

Index to Diseases and Injuries
References found for the code Z31.430 in the Index to Diseases and Injuries:


Information for Patients


Genetic Testing

Genetic tests are tests on blood and other tissue to find genetic disorders. Over 2000 tests are available. Doctors use genetic tests for several reasons. These include

  • Finding genetic diseases in unborn babies
  • Finding out if people carry a gene for a disease and might pass it on to their children
  • Screening embryos for disease
  • Testing for genetic diseases in adults before they cause symptoms
  • Making a diagnosis in a person who has disease symptoms
  • Figuring out the type or dose of a medicine that is best for a certain person

People have many different reasons for being tested or not being tested. For some, it is important to know whether a disease can be prevented or treated if a test is positive. In some cases, there is no treatment. But test results might help a person make life decisions, such as family planning or insurance coverage. A genetic counselor can provide information about the pros and cons of testing.

NIH: National Human Genome Research Institute

  • BRCA1 and BRCA2 gene testing (Medical Encyclopedia)
  • Genetic testing and your cancer risk (Medical Encyclopedia)
  • Genetic Testing: What It Means for Your Health and Your Family's Health - NIH (National Institutes of Health)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
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.

Previous Code
Z31.43
Next Code
Z31.438