2026 ICD-10-CM Diagnosis Code Z31.81Encounter for male factor infertility in female patient

ICD-10-CM Codes›Z00–Z99›Z30-Z39›Z31

ICD-10-CM Z31.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z31.81 is a billable ICD-10-CM diagnosis code for encounter for male factor infertility in female patient. 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Contraceptive and procreative management.

Code Identity

ICD-10-CM Code
Z31.81
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for male factor infertility in female patient
Short Description
Encounter for male factor infertility in female patient
Same as the full description in the CMS dataset.
Parent Code
Z31.8
Encounter for other 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 CodeZ31.81Encounter for male factor infertility in female patient

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z31.81.

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

Z31.81 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

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.

    • Management(of)
      • procreative
        • male factor infertility in female

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

Male Infertility

Infertility is a term doctors use if a man hasn't been able to get a woman pregnant after at least one year of trying. Causes of male infertility include:

Read the full article at MedlinePlus

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

Convert Z31.81 to ICD-9-CMHistory

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

ICD-9-CM
V26.89 Procreative managemt NEC
Approximate The match is approximate rather than exact.

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 Z31.81Overview

Is Z31.81 (Encounter for other procreative management) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for male factor infertility in female patient on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z31.81 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for male factor infertility in female patient describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z31.81 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 male factor infertility in female patient on inpatient claims.

What is the ICD-9 equivalent of Z31.81?

Under the General Equivalence Mappings, encounter for male factor infertility in female patient converts to ICD-9-CM V26.89 (procreative managemt NEC). The mapping is approximate, so confirm the match fits the documentation.