DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z31 Encounter for procreative management

  • Header · not billable

Z31 is not billable. The category heads 20 billable codes in FY2027, grouped under 7 subdivisions.

Index → code

  • Insufflation, fallopian → Z31.41
  • Sperm counts (fertility testing) → Z31.41
  • Tuboplasty, after previous sterilization → Z31.0

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z30-Z39 Persons encountering health services in circumstances related to reproduction (Z30-Z39)
  3. Z31 Encounter for procreative management
Billable codes
20
Subdivisions
7
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
49

Codes in Z31

  1. Z31.0
    Encounter for reversal of previous sterilization
    BillableExempt
  2. Z31.4
    Encounter for procreative investigation and testing
    Header
    Excludes1 1

    Excludes1

    • postvasectomy sperm count (Z30.8) Z30.8
  3. Z31.41
    Encounter for fertility testing
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Encounter for fallopian tube patency testing
    • Encounter for sperm count for fertility testing
  4. Z31.42
    Aftercare following sterilization reversal
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Sperm count following sterilization reversal
  5. Z31.43
    Encounter for genetic testing of female for procreative management
    Header
    Excludes1 1, Use additional code 1

    Excludes1

    • nonprocreative genetic testing (Z13.7-) Z13.7

    Use additional code

    • code for recurrent pregnancy loss, if applicable (N96, O26.2-) N96 O26.2
  6. Z31.430
    Encounter of female for testing for genetic disease carrier status for procreative management
    BillableExempt
  7. Z31.438
    Encounter for other genetic testing of female for procreative management
    BillableExempt
  8. Z31.44
    Encounter for genetic testing of male for procreative management
    Header
    Excludes1 1

    Excludes1

    • nonprocreative genetic testing (Z13.7-) Z13.7
  9. Z31.440
    Encounter of male for testing for genetic disease carrier status for procreative management
    BillableExempt
  10. Z31.441
    Encounter for testing of male partner of patient with recurrent pregnancy loss
    BillableExempt
  11. Z31.448
    Encounter for other genetic testing of male for procreative management
    BillableExempt
  12. Z31.49
    Encounter for other procreative investigation and testing
    BillableExempt
  13. Z31.5
    Encounter for procreative genetic counseling
    BillableExempt
  14. Z31.6
    Encounter for general counseling and advice on procreation
    Header
  15. Z31.61
    Procreative counseling and advice using natural family planning
    BillableExempt
  16. Z31.62
    Encounter for fertility preservation counseling
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Encounter for fertility preservation counseling prior to cancer therapy
    • Encounter for fertility preservation counseling prior to surgical removal of gonads
  17. Z31.69
    Encounter for other general counseling and advice on procreation
    BillableExempt
  18. Z31.7
    Encounter for procreative management and counseling for gestational carrier
    BillableExempt
    Excludes1 1

    Excludes1

    • pregnant state, gestational carrier (Z33.3) Z33.3
  19. Z31.8
    Encounter for other procreative management
    Header
  20. Z31.81
    Encounter for male factor infertility in female patient
    BillableExempt
  21. Z31.82
    Encounter for Rh incompatibility status
    BillableExempt
  22. Z31.83
    Encounter for assisted reproductive fertility procedure cycle
    BillableExempt
    Inclusion terms 1, Excludes1 1, Use additional code 1

    Inclusion terms

    • Patient undergoing in vitro fertilization cycle

    Excludes1

    • pre-cycle diagnosis and testing - code to reason for encounter

    Use additional code

    • code to identify the type of infertility
  23. Z31.84
    Encounter for fertility preservation procedure
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Encounter for fertility preservation procedure prior to cancer therapy
    • Encounter for fertility preservation procedure prior to surgical removal of gonads
  24. Z31.89
    Encounter for other procreative management
    BillableExempt
  25. Z31.9
    Encounter for procreative management, unspecified
    BillableExempt

Sources of each column.

Instructions

At Z31

Excludes2

  • complications associated with artificial fertilization (N98.-) N98
  • female infertility (N97.-) N97
  • male infertility (N46.-) N46

Notes that also apply

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Tuboplasty, after previous sterilization → Z31.0
  • Vasoplasty, after previous sterilization → Z31.0
  • Insufflation, fallopian → Z31.41
  • Sperm counts (fertility testing) → Z31.41
  • Harvesting ovum for in vitro fertilization → Z31.83
  • Admission (for)poststerilization (for restoration) → Z31.0
  • Admission (for)restoration of organ continuity (poststerilization) → Z31.0
  • Admission (for)tuboplasty following previous sterilization → Z31.0
  • Admission (for)vasoplasty following previous sterilization → Z31.0
  • Restoration (of)organ continuity from previous sterilization (tuboplasty) (vasoplasty) → Z31.0
  • Fallopianinsufflation → Z31.41
  • Test, tests, testing (for)fertility → Z31.41
  • Tuboplasty, after previous sterilizationaftercare → Z31.42
  • Vasoplasty, after previous sterilizationaftercare → Z31.42
  • Test, tests, testing (for)male partner of patient with recurrent pregnancy loss → Z31.441
  • Test, tests, testing (for)procreative → Z31.49
  • Counseling (for)fertility preservation (prior to cancer therapy) (prior to removal of gonads) → Z31.62
  • Counseling (for)procreative NEC → Z31.69
  • Planning, familyprocreation → Z31.69
  • Counseling (for)gestational carrier → Z31.7
  • Encounter (with health service) (for)procreative management and counseling for gestational carrier → Z31.7
  • IncompatibilityRh (blood group) (factor) → Z31.82
  • Encounter (with health service) (for)assisted reproductive fertility procedure cycle → Z31.83
  • Encounter (with health service) (for)in vitro fertilization cycle → Z31.83
  • Encounter (with health service) (for)fertility preservation procedure (prior to cancer therapy) (prior to removal of gonads) → Z31.84
  • Admission (for)procreative management → Z31.9
  • Management (of)procreative → Z31.9
  • Test, tests, testing (for)procreativefertility → Z31.41
  • Admission (for)poststerilization (for restoration)aftercare → Z31.42
  • Admission (for)restoration of organ continuity (poststerilization)aftercare → Z31.42
  • Admission (for)tuboplasty following previous sterilizationaftercare → Z31.42
  • Admission (for)vasoplasty following previous sterilizationaftercare → Z31.42
  • Restoration (of)organ continuity from previous sterilization (tuboplasty) (vasoplasty)aftercare → Z31.42
  • Sperm counts (fertility testing)postvasectomyreversal → Z31.42
  • Test, tests, testing (for)geneticmale partner of patient with recurrent pregnancy loss → Z31.441
  • Counseling (for)geneticprocreative NEC → Z31.5
  • Counseling (for)natural family planningprocreative → Z31.61
  • Counseling (for)procreative NECusing natural family planning → Z31.61
  • Counseling (for)procreative NECfertility preservation (prior to cancer therapy) (prior to removal of gonads) → Z31.62
  • Admission (for)counselingprocreative management NEC → Z31.69

9 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy