Encounter for procreative management (Z31) ICD-10-CM
The Z31 code range covers encounter for procreative management with 26 ICD-10-CM diagnosis codes. 20 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Codes in the Z31 Range 26 codes · 20 billable
- Z31 Encounter for procreative managementNon-billable
- Z31.0 Encounter for reversal of previous sterilization
- Z31.4 Encounter for procreative investigation and testingNon-billable
- Z31.41 Encounter for fertility testing
- Z31.42 Aftercare following sterilization reversal
- Z31.43 Encounter for genetic testing of female for procreative managementNon-billable
- Z31.430 Encounter of female for testing for genetic disease carrier status for procreative management
- Z31.438 Encounter for other genetic testing of female for procreative management
- Z31.44 Encounter for genetic testing of male for procreative managementNon-billable
- Z31.440 Encounter of male for testing for genetic disease carrier status for procreative management
- Z31.441 Encounter for testing of male partner of patient with recurrent pregnancy loss
- Z31.448 Encounter for other genetic testing of male for procreative management
- Z31.49 Encounter for other procreative investigation and testing
- Z31.5 Encounter for procreative genetic counseling
- Z31.6 Encounter for general counseling and advice on procreationNon-billable
- Z31.61 Procreative counseling and advice using natural family planning
- Z31.62 Encounter for fertility preservation counseling
- Z31.69 Encounter for other general counseling and advice on procreation
- Z31.7 Encounter for procreative management and counseling for gestational carrier
- Z31.8 Encounter for other procreative managementNon-billable
- Z31.81 Encounter for male factor infertility in female patient
- Z31.82 Encounter for Rh incompatibility status
- Z31.83 Encounter for assisted reproductive fertility procedure cycle
- Z31.84 Encounter for fertility preservation procedure
- Z31.89 Encounter for other procreative management
- Z31.9 Encounter for procreative management, unspecified
About the Z31 Code Range
The ICD-10 code Z31 and its subcategories are used to classify medical encounters specifically related to procreative management. These codes cover a wide range of services, including fertility testing, genetic counseling, and procedures aimed at supporting or investigating reproductive health.
These codes help capture visits for various aspects of reproductive planning and assistance. For example, Z31.0 is used for encounters involving the reversal of previous sterilization, commonly referred to as "reversal of sterilization done." Codes like Z31.41 are assigned for fertility testing ("infertility study done"), while Z31.5 covers procreative genetic counseling, which involves consultation about heritable disorders for patients or fetuses. Genetic testing of both females and males for carrier status or other procreative considerations is coded under Z31.43 and Z31.44. Encounters for general procreative advice, including natural family planning (Z31.61) and fertility preservation counseling (Z31.62), are also included. Other codes capture assisted reproductive procedures and management of specific conditions like Rh incompatibility (Z31.82) or male factor infertility in a female patient (Z31.81). The unspecified code Z31.9 is applied when the procreative management encounter details are not specified, often used when patients are simply "trying to conceive."
Questions About This Page
How many billable codes are in the Z31 range?
Of the 26 codes in this range, 20 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the Z31 range classify?
The range classifies encounter for procreative management. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
