2024 ICD-10-CM Diagnosis Code Z31.5
Encounter for procreative genetic counseling
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Genetic counseling done
- Genetic counseling for heritable disorder with fetus at risk done
- Genetic counseling for heritable disorder with patient at risk done
Clinical Category is Contraceptive and procreative management
- CCSR Category Code: FAC013
- Inpatient Default CCSR: X - Not applicable.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
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:
Present on Admission (POA)
CMS POA Indicator Options and Definitions
|Reason for Code
|CMS will pay the CC/MCC DRG?
|Diagnosis was present at time of inpatient admission.
|Diagnosis was not present at time of inpatient admission.
|Documentation insufficient to determine if the condition was present at the time of inpatient admission.
|Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
|Unreported/Not used - Exempt from POA reporting.
Genetic counseling provides information and support to people who have, or may be at risk for, genetic disorders. A genetic counselor meets with you to discuss genetic risks. The counseling may be for yourself or a family member. Or you may get it when you are planning or expecting a baby. You may follow up with genetic testing.
There are many reasons to seek genetic counseling. You may consider it if you :
- Have a personal or family history of a genetic condition or birth defect
- Are pregnant or planning to be pregnant after age 35
- Already have a child with a genetic disorder or birth defect
- Have had two or more pregnancy losses or a baby who died
- Have had ultrasound or screening tests that suggest a possible problem
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- 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.