ICD-10-CM Code Z97.5

Presence of (intrauterine) contraceptive device

Version 2020 Billable Code Diagnoses For Females Only Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z97.5 is a billable code used to specify a medical diagnosis of presence of (intrauterine) contraceptive device. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z97.5 might also be used to specify conditions or terms like barrier contraception method, device-associated finding of labor, expulsion of iucd during third stage of labor, female barrier contraception method, intrafallopian contraceptive implant in situ, intrauterine contraception, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z97.5 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:Z97.5
Short Description:Presence of (intrauterine) contraceptive device
Long Description:Presence of (intrauterine) contraceptive device

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z97.5:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • checking, reinsertion or removal of implantable subdermal contraceptive Z30.46
  • checking, reinsertion or removal of intrauterine contraceptive device Z30.43

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z97.5 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to 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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Barrier contraception method
  • Device-associated finding of labor
  • Expulsion of IUCD during third stage of labor
  • Female barrier contraception method
  • Intrafallopian contraceptive implant in situ
  • Intrauterine contraception
  • Intrauterine contraceptive device in situ
  • IUCD status
  • IUD contraception
  • Uses contraceptive diaphragm
  • Uses copper intrauterine device contraception
  • Uses hormone releasing intrauterine device contraception
  • Uses vaginal hormone releasing ring
  • Vaginal contraception
  • Vaginal contraception

Present on Admission (POA)

Z97.5 is exempt from POA reporting - 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. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z97.5 to ICD-9

  • V45.51 - Prsc ntrutr cntrcptv dvc (Approximate Flag)
  • V45.59 - Prsc other cntrcptv dvc (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Presence of other devices (Z97)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Birth Control

Birth control, also known as contraception, is designed to prevent pregnancy. Birth control methods may work in a number of different ways:

  • Preventing sperm from getting to the eggs. Types include condoms, diaphragms, cervical caps, and contraceptive sponges.
  • Keeping the woman's ovaries from releasing eggs that could be fertilized. Types include birth control pills, patches, shots, vaginal rings, and emergency contraceptive pills.
  • IUDs, devices which are implanted into the uterus. They can be kept in place for several years.
  • Sterilization, which permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant

Your choice of birth control should depend on several factors. These include your health, frequency of sexual activity, number of sexual partners and desire to have children in the future. Your health care provider can help you select the best form of birth control for you.

NIH: National Institute of Child Health and Human Development


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