Z31.4CurrentCategory · further specificity required

Encounter for procreative investigation and testing

Code-level instructions

Excludes 1

postvasectomy sperm count (Z30.8)

Excludes 2 · 3

Z31 · Encounter for procreative management

Excludes 2

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

More specific codes

Z31.41Encounter for fertility testing Z31.42Aftercare following sterilization reversal Z31.43Encounter for genetic testing of female for procreative management Z31.44Encounter for genetic testing of male for procreative management Z31.49Encounter for other procreative investigation and testing

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022

ChangedUnchanged

FY2022

Effective from 2021-10-01

Inherited rules changed

Encounter for procreative investigation and testing

Category — select a more specific code

CDC/NCHS · FY2022

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	Inherited rules changed
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Excludes 1

postvasectomy sperm count (Z30.8)

Inherited instructions

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

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.

Z31 · Encounter for procreative management

Excludes 2

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

More specific codes

Z31.41Encounter for fertility testingBillable / specific Z31.42Aftercare following sterilization reversalBillable / specific Z31.43Encounter for genetic testing of female for procreative managementCategory · further specificity required Z31.44Encounter for genetic testing of male for procreative managementCategory · further specificity required Z31.49Encounter for other procreative investigation and testingBillable / specific

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z31.0	Encounter for reversal of previous sterilization	Billable / specific
Z31.5	Encounter for procreative genetic counseling	Billable / specific
Z31.6	Encounter for general counseling and advice on procreation	Category · further specificity required
Z31.7	Encounter for procreative management and counseling for gestational carrier	Billable / specific
Z31.8	Encounter for other procreative management	Category · further specificity required
Z31.9	Encounter for procreative management, unspecified	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

Z31.4CurrentCategory · further specificity required

Encounter for procreative investigation and testing

Code-level instructions

Excludes 1

postvasectomy sperm count (Z30.8)

Excludes 2 · 3

Z31 · Encounter for procreative management

Excludes 2

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

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022

ChangedUnchanged

FY2022

Effective from 2021-10-01

Inherited rules changed

Encounter for procreative investigation and testing

Category — select a more specific code

CDC/NCHS · FY2022

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	Inherited rules changed
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Excludes 1

postvasectomy sperm count (Z30.8)

Inherited instructions

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

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.

Z31 · Encounter for procreative management

Excludes 2

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

More specific codes

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z31.0	Encounter for reversal of previous sterilization	Billable / specific
Z31.5	Encounter for procreative genetic counseling	Billable / specific
Z31.6	Encounter for general counseling and advice on procreation	Category · further specificity required
Z31.7	Encounter for procreative management and counseling for gestational carrier	Billable / specific
Z31.8	Encounter for other procreative management	Category · further specificity required
Z31.9	Encounter for procreative management, unspecified	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗