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ICD-10 Guide
ICD-10 CodesZ31.61

Z31.61

Procreative counseling and advice using natural family planning

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z31.61 is a billable code used to indicate a diagnosis of procreative counseling and advice using natural family planning.

Key Diagnostic Point:

Z31.61 is used to document procreative counseling and advice specifically focused on natural family planning methods. This code is relevant in clinical settings where healthcare providers offer guidance on fertility awareness, menstrual cycle tracking, and other non-invasive methods to help individuals or couples achieve or avoid pregnancy. The use of natural family planning is influenced by various social determinants of health, including education level, cultural beliefs, and access to healthcare services. Preventive care in this context involves educating patients about reproductive health, promoting informed decision-making, and addressing any barriers to accessing family planning resources. Screening may include assessments of reproductive health and counseling on the effectiveness and limitations of natural family planning methods. Aftercare may involve follow-up consultations to evaluate the effectiveness of the chosen method and to provide ongoing support. Proper documentation is essential to ensure accurate coding and to reflect the comprehensive nature of the counseling provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough documentation of counseling sessions and patient understanding.
  • Involves understanding of various natural family planning methods.
  • May require integration with other preventive care services.
  • Documentation must reflect patient-specific factors influencing family planning choices.

Audit Risk Factors

  • Inadequate documentation of counseling sessions.
  • Failure to document patient education and understanding.
  • Misuse of the code in non-counseling contexts.
  • Lack of follow-up documentation to support ongoing care.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the counseling provided, patient questions, and follow-up plans.

Common Clinical Scenarios

Routine checkups where family planning discussions occur, counseling sessions focused on natural methods.

Billing Considerations

Consideration of social determinants such as education, cultural beliefs, and access to resources.

Public Health

Documentation Requirements

Population-level data collection and documentation of community outreach efforts.

Common Clinical Scenarios

Community health workshops on natural family planning, epidemiological studies assessing family planning effectiveness.

Billing Considerations

Focus on health disparities and access to family planning resources in underserved populations.

Coding Guidelines

Inclusion Criteria

Use Z31.61 When
  • Z codes are used when a patient is seeking care for reasons other than a specific illness or injury
  • 61 should be sequenced appropriately, often as a secondary code following a primary diagnosis related to reproductive health
  • Payer requirements may vary, so it's essential to verify coverage for counseling services

Exclusion Criteria

Do NOT use Z31.61 When
No specific exclusions found.

Related CPT Codes

99401CPT Code

Preventive counseling, individual

Clinical Scenario

Used during a visit where natural family planning counseling is provided.

Documentation Requirements

Document the time spent on counseling and the topics covered.

Specialty Considerations

Primary care providers should ensure that counseling aligns with preventive care guidelines.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding Z codes, including Z31.61, which helps capture the nuances of procreative counseling and the methods discussed.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding Z codes, including Z31.61, which helps capture the nuances of procreative counseling and the methods discussed.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Family Planning Guidelines

Coding & Billing References

  • •
    CDC Family Planning Guidelines

Frequently Asked Questions

What documentation is required for Z31.61?

Documentation should include details of the counseling session, patient questions, and follow-up plans. It is essential to demonstrate patient understanding of natural family planning methods.