ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 21: Factors influencing health statusZ31

Z31

Non-billable

Encounter for procreative management

Chapter 21:Factors influencing health status

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 Z31 is a used to indicate a diagnosis of encounter for procreative management.

Key Diagnostic Point:

The ICD-10 Level 1 Category code Z31 is designated for encounters related to procreative management. This category encompasses a variety of situations where individuals or couples seek assistance with reproductive health, including fertility evaluations, counseling regarding reproductive options, and management of infertility. It is crucial for healthcare providers to accurately document these encounters to ensure appropriate care and follow-up for patients seeking to conceive or manage reproductive health issues. Conditions covered under this category may include infertility assessments, preconception counseling, and other related reproductive health services.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions covered
  • Need for detailed documentation
  • Potential for multiple encounters

Audit Risk Factors

  • Inadequate documentation of patient history
  • Misuse of codes for non-reproductive encounters
  • Failure to follow up on patient outcomes

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Reproductive Endocrinology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the Z31 code category is significant, as it plays a crucial role in tracking reproductive health trends and outcomes. Accurate coding can improve quality measures related to fertility treatments and reproductive health services, ultimately contributing to better population health management. Additionally, as healthcare trends increasingly focus on personalized medicine and reproductive health, the data collected through Z31 encounters can inform public health initiatives and resource allocation for reproductive health services.

ICD-9 vs ICD-10

The clinical and administrative impact of the Z31 code category is significant, as it plays a crucial role in tracking reproductive health trends and outcomes. Accurate coding can improve quality measures related to fertility treatments and reproductive health services, ultimately contributing to better population health management. Additionally, as healthcare trends increasingly focus on personalized medicine and reproductive health, the data collected through Z31 encounters can inform public health initiatives and resource allocation for reproductive health services.

Reimbursement & Billing Impact

reimbursement. Providers should ensure that all services rendered during the encounter are clearly documented, including any counseling or assessments performed. It is also important to check for any payer-specific requirements, as some insurers may have additional documentation needs or restrictions on the use of Z31 codes. Proper coding can facilitate smoother claims processing and reduce the likelihood of denials or audits.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Z31

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Z31

Frequently Asked Questions

What conditions are included in Z31?

Z31 includes conditions related to procreative management such as infertility assessments, counseling for reproductive health, and preconception consultations.

When should I use Z31 codes?

Z31 codes should be used when a patient is seeking assistance with reproductive health management, including fertility evaluations or counseling regarding conception.

What documentation is required for Z31?

Documentation should include detailed patient history, reasons for the encounter, any assessments performed, and plans for further management or treatment.