ICD-10-CM · FY 2026 POA Exempt
POA Exempt: Persons encountering health services in circumstances related to reproduction (Z30-Z39) ICD-10-CM
The 153 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.
✓ Built from the official CMS FY 2026 POA exempt fileEffective Oct 1, 2025 – Sep 30, 2026
153
Exempt Codes
1
POA Indicator When Reported
ICD-10-CM
Exempt Codes in This Range 153 codes · 9 categories
153 of 153 shown
Z30 Encounter for contraceptive management25 codes
- Z30.011 Encounter for initial prescription of contraceptive pills
- Z30.012 Encounter for prescription of emergency contraception
- Z30.013 Encounter for initial prescription of injectable contraceptive
- Z30.014 Encounter for initial prescription of intrauterine contraceptive device
- Z30.015 Encounter for initial prescription of vaginal ring hormonal contraceptive
- Z30.016 Encounter for initial prescription of transdermal patch hormonal contraceptive device
- Z30.017 Encounter for initial prescription of implantable subdermal contraceptive
- Z30.018 Encounter for initial prescription of other contraceptives
- Z30.019 Encounter for initial prescription of contraceptives, unspecified
- Z30.02 Counseling and instruction in natural family planning to avoid pregnancy
- Z30.09 Encounter for other general counseling and advice on contraception
- Z30.2 Encounter for sterilization
- Z30.40 Encounter for surveillance of contraceptives, unspecified
- Z30.41 Encounter for surveillance of contraceptive pills
- Z30.42 Encounter for surveillance of injectable contraceptive
- Z30.430 Encounter for insertion of intrauterine contraceptive device
- Z30.431 Encounter for routine checking of intrauterine contraceptive device
- Z30.432 Encounter for removal of intrauterine contraceptive device
- Z30.433 Encounter for removal and reinsertion of intrauterine contraceptive device
- Z30.44 Encounter for surveillance of vaginal ring hormonal contraceptive device
- Z30.45 Encounter for surveillance of transdermal patch hormonal contraceptive device
- Z30.46 Encounter for surveillance of implantable subdermal contraceptive
- Z30.49 Encounter for surveillance of other contraceptives
- Z30.8 Encounter for other contraceptive management
- Z30.9 Encounter for contraceptive management, unspecified
Z31 Encounter for procreative management20 codes
- Z31.0 Encounter for reversal of previous sterilization
- Z31.41 Encounter for fertility testing
- Z31.42 Aftercare following sterilization reversal
- 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
- Z31.440 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
- Z31.61 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
- Z31.81 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
Z33 Pregnant state1 code
- Z33.3 Pregnant state, gestational carrier
Z34 Encounter for supervision of normal pregnancy12 codes
- Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester
- Z34.01 Encounter for supervision of normal first pregnancy, first trimester
- Z34.02 Encounter for supervision of normal first pregnancy, second trimester
- Z34.03 Encounter for supervision of normal first pregnancy, third trimester
- Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester
- Z34.81 Encounter for supervision of other normal pregnancy, first trimester
- Z34.82 Encounter for supervision of other normal pregnancy, second trimester
- Z34.83 Encounter for supervision of other normal pregnancy, third trimester
- Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
- Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester
- Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester
- Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36 Encounter for antenatal screening of mother17 codes
- Z36.0 Encounter for antenatal screening for chromosomal anomalies
- Z36.1 Encounter for antenatal screening for raised alphafetoprotein level
- Z36.2 Encounter for other antenatal screening follow-up
- Z36.3 Encounter for antenatal screening for malformations
- Z36.4 Encounter for antenatal screening for fetal growth retardation
- Z36.5 Encounter for antenatal screening for isoimmunization
- Z36.81 Encounter for antenatal screening for hydrops fetalis
- Z36.82 Encounter for antenatal screening for nuchal translucency
- Z36.83 Encounter for fetal screening for congenital cardiac abnormalities
- Z36.84 Encounter for antenatal screening for fetal lung maturity
- Z36.85 Encounter for antenatal screening for Streptococcus B
- Z36.86 Encounter for antenatal screening for cervical length
- Z36.87 Encounter for antenatal screening for uncertain dates
- Z36.88 Encounter for antenatal screening for fetal macrosomia
- Z36.89 Encounter for other specified antenatal screening
- Z36.8A Encounter for antenatal screening for other genetic defects
- Z36.9 Encounter for antenatal screening, unspecified
Z37 Outcome of delivery19 codes
- Z37.0 Single live birth
- Z37.1 Single stillbirth
- Z37.2 Twins, both liveborn
- Z37.3 Twins, one liveborn and one stillborn
- Z37.4 Twins, both stillborn
- Z37.50 Multiple births, unspecified, all liveborn
- Z37.51 Triplets, all liveborn
- Z37.52 Quadruplets, all liveborn
- Z37.53 Quintuplets, all liveborn
- Z37.54 Sextuplets, all liveborn
- Z37.59 Other multiple births, all liveborn
- Z37.60 Multiple births, unspecified, some liveborn
- Z37.61 Triplets, some liveborn
- Z37.62 Quadruplets, some liveborn
- Z37.63 Quintuplets, some liveborn
- Z37.64 Sextuplets, some liveborn
- Z37.69 Other multiple births, some liveborn
- Z37.7 Other multiple births, all stillborn
- Z37.9 Outcome of delivery, unspecified
Z38 Liveborn infants according to place of birth and type of delivery18 codes
- Z38.00 Single liveborn infant, delivered vaginally
- Z38.01 Single liveborn infant, delivered by cesarean
- Z38.1 Single liveborn infant, born outside hospital
- Z38.2 Single liveborn infant, unspecified as to place of birth
- Z38.30 Twin liveborn infant, delivered vaginally
- Z38.31 Twin liveborn infant, delivered by cesarean
- Z38.4 Twin liveborn infant, born outside hospital
- Z38.5 Twin liveborn infant, unspecified as to place of birth
- Z38.61 Triplet liveborn infant, delivered vaginally
- Z38.62 Triplet liveborn infant, delivered by cesarean
- Z38.63 Quadruplet liveborn infant, delivered vaginally
- Z38.64 Quadruplet liveborn infant, delivered by cesarean
- Z38.65 Quintuplet liveborn infant, delivered vaginally
- Z38.66 Quintuplet liveborn infant, delivered by cesarean
- Z38.68 Other multiple liveborn infant, delivered vaginally
- Z38.69 Other multiple liveborn infant, delivered by cesarean
- Z38.7 Other multiple liveborn infant, born outside hospital
- Z38.8 Other multiple liveborn infant, unspecified as to place of birth
Z39 Encounter for maternal postpartum care and examination3 codes
Z3A Weeks of gestation38 codes
- Z3A.00 Weeks of gestation of pregnancy not specified
- Z3A.01 Less than 8 weeks gestation of pregnancy
- Z3A.08 8 weeks gestation of pregnancy
- Z3A.09 9 weeks gestation of pregnancy
- Z3A.10 10 weeks gestation of pregnancy
- Z3A.11 11 weeks gestation of pregnancy
- Z3A.12 12 weeks gestation of pregnancy
- Z3A.13 13 weeks gestation of pregnancy
- Z3A.14 14 weeks gestation of pregnancy
- Z3A.15 15 weeks gestation of pregnancy
- Z3A.16 16 weeks gestation of pregnancy
- Z3A.17 17 weeks gestation of pregnancy
- Z3A.18 18 weeks gestation of pregnancy
- Z3A.19 19 weeks gestation of pregnancy
- Z3A.20 20 weeks gestation of pregnancy
- Z3A.21 21 weeks gestation of pregnancy
- Z3A.22 22 weeks gestation of pregnancy
- Z3A.23 23 weeks gestation of pregnancy
- Z3A.24 24 weeks gestation of pregnancy
- Z3A.25 25 weeks gestation of pregnancy
- Z3A.26 26 weeks gestation of pregnancy
- Z3A.27 27 weeks gestation of pregnancy
- Z3A.28 28 weeks gestation of pregnancy
- Z3A.29 29 weeks gestation of pregnancy
- Z3A.30 30 weeks gestation of pregnancy
- Z3A.31 31 weeks gestation of pregnancy
- Z3A.32 32 weeks gestation of pregnancy
- Z3A.33 33 weeks gestation of pregnancy
- Z3A.34 34 weeks gestation of pregnancy
- Z3A.35 35 weeks gestation of pregnancy
- Z3A.36 36 weeks gestation of pregnancy
- Z3A.37 37 weeks gestation of pregnancy
- Z3A.38 38 weeks gestation of pregnancy
- Z3A.39 39 weeks gestation of pregnancy
- Z3A.40 40 weeks gestation of pregnancy
- Z3A.41 41 weeks gestation of pregnancy
- Z3A.42 42 weeks gestation of pregnancy
- Z3A.49 Greater than 42 weeks gestation of pregnancy
Questions About This Category
Why are these codes POA exempt?
The codes for persons encountering health services in circumstances related to reproduction describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.
How many codes in this range are exempt?
The FY 2026 exempt list contains 153 codes in this range, effective October 1, 2025 through September 30, 2026.
Are these codes billable?
The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.
More POA Exempt Categories
Encounter for contraceptive managementEncounter for procreative managementPregnant stateEncounter for supervision of normal pregnancyEncounter for antenatal screening of motherOutcome of deliveryLiveborn infants according to place of birth and type of deliveryEncounter for maternal postpartum care and examination All POA exempt categories →
Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.
