2027 ICD-10-CM Diagnosis Code Z31.441Encounter for testing of male partner of patient with recurrent pregnancy loss

ICD-10-CM Codes›Z00–Z99›Z30-Z39›Z31

ICD-10-CM Z31.441
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z31.441 is a billable ICD-10-CM diagnosis code for encounter for testing of male partner of patient with recurrent pregnancy loss. 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 restricted by the Medicare Code Editor to adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Contraceptive and procreative management.

Code Identity

ICD-10-CM Code
Z31.441
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for testing of male partner of patient with recurrent pregnancy loss
Short Description
Encntr for testing of male prtnr of pt w recur preg loss
Parent Code
Encounter for genetic testing of male for procreative management

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ30-Z39Persons encountering health services in circumstances related to reproduction
CategoryZ31Encounter for procreative management
This CodeZ31.441Encounter for testing of male partner of patient with recurrent pregnancy loss

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z31.441.

The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
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

Z31.441 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).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z31.441: its own notes plus those printed at Z31.44, Z31.4, Z31, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Z31.44 Encounter for genetic testing of male for procreative management applies to 3 codes
  • nonprocreative genetic testing (Z13.7-)
From Z31.4 Encounter for procreative investigation and testing applies to 8 codes
  • postvasectomy sperm count (Z30.8)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Z31 Encounter for procreative management applies to 20 codes
  • complications associated with artificial fertilization (N98.-)
  • female infertility (N97.-)
  • male infertility (N46.-)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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 Z31.441, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z31.441: they are not reported together with it, unless the two conditions are unrelated.

  • Z13.7 Encounter for screening for genetic and chromosomal anomalies
    genetic testing for procreative management (Z31.4-) names Z31.4-, which includes this code

Excludes2 3

These codes carry an Excludes2 note naming Z31.441: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block Z00-Z13 Persons encountering health services for examinations
    examinations related to pregnancy and reproduction (Z30-Z36, Z39.-) names Z30-Z36, which includes this code
  • Z70 Counseling related to sexual attitude, behavior and orientation
    contraceptive or procreative counseling (Z30-Z31) names Z30-Z31, which includes this code
  • Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
    contraceptive or procreation counseling (Z30-Z31) names Z30-Z31, which includes this code

Index to Diseases and InjuriesGuidance

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

Genetic Testing

Genetic testing is a type of medical test that looks for changes, sometimes called variants or mutations, in your DNA. DNA contains the genetic instructions in all living things. Often, these changes have no effect, but sometimes, even a small change in DNA can cause disease or other health conditions.

The full article covers:

  • What is genetic testing?
  • What are the different ways to get genetic tests?
  • Why is genetic testing done?
  • How is genetic testing done?
  • What are the benefits of genetic testing?
  • What are the drawbacks of genetic testing?
  • How do I decide whether to be tested?

Read the full article at MedlinePlus

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

Convert Z31.441 to ICD-9-CMHistory

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

ICD-9-CM
V26.35 Test male/fem preg loss
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z31.441Overview

Is Z31.441 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for testing of male partner of patient with recurrent pregnancy loss on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z31.441 group to?

On inpatient claims, encounter for testing of male partner of patient with recurrent pregnancy loss 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 Z31.441 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for testing of male partner of patient with recurrent pregnancy loss describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z31.441 be reported for?

The Medicare Code Editor checks encounter for testing of male partner of patient with recurrent pregnancy loss against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

Is Z31.441 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 testing of male partner of patient with recurrent pregnancy loss 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.