2027 ICD-10-CM Diagnosis Code Z33.2Encounter for elective termination of pregnancy
Z33.2 is a billable ICD-10-CM diagnosis code for encounter for elective termination of pregnancy. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 770, 779. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Induced abortion and complications of termination of pregnancy.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z33.2.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Complete induced termination of pregnancy
- Counseling for termination of pregnancy done
- Elective termination of pregnancy
- Fetal death due to termination of pregnancy
- Induced termination of pregnancy in first trimester
- Induced termination of pregnancy in second trimester
- Patient requested procedure
- Requests pregnancy termination
- Termination of pregnancy
- Termination of pregnancy on demand
- Therapeutic termination of pregnancy
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z33.2: its own notes plus those printed at 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.
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 Z33.2, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming Z33.2: its condition is not part of those codes, and both may be reported when the patient has both.
- O04 Complications following (induced) termination of pregnancyencounter for elective termination of pregnancy (Z33.2)
- Block Z00-Z13 Persons encountering health services for examinations
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Abortion
An induced abortion is a procedure to end a pregnancy. It can be done two different ways:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z33.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z33.2Overview
What is the ICD-10 code for encounter for elective termination of pregnancy?
The ICD-10-CM code for encounter for elective termination of pregnancy is Z33.2 (sometimes written as Z332). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z33.2 (Pregnant state) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for elective termination of pregnancy on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z33.2 group to?
When encounter for elective termination of pregnancy is the principal diagnosis on an inpatient stay, it groups to MS-DRG 779, 770, with relative weights from 1.0198 to 1.0987 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can Z33.2 be reported for?
The Medicare Code Editor checks encounter for elective termination of pregnancy against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
Can Z33.2 be reported with O02.1?
Not as a rule. The Excludes1 note on Z33.2 lists "early fetal death with retention of dead fetus (O02.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
