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v1.0.0
ICD-10 Guide
ICD-10 CodesZ33.2

Z33.2

Encounter for elective termination of pregnancy

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

Code Description

ICD-10 Z33.2 is a billable code used to indicate a diagnosis of encounter for elective termination of pregnancy.

Key Diagnostic Point:

Z33.2 is used to indicate an encounter for elective termination of pregnancy, which is a procedure chosen by the patient for personal, social, or economic reasons rather than for medical necessity. This code reflects the importance of understanding the social determinants of health that influence a patient's decision-making process, such as access to healthcare, education, and socioeconomic status. Preventive care and screening may play a role in the patient's overall health management, including counseling on reproductive health and family planning. Aftercare following the procedure is also crucial, as it involves monitoring for complications and providing emotional support. Proper documentation is essential to capture the context of the encounter, including the patient's reasons for seeking termination and any relevant health status factors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of patient consent and reasons for termination
  • Variability in state laws and regulations regarding elective termination
  • Potential for emotional and psychological factors influencing the encounter
  • Importance of capturing social determinants of health

Audit Risk Factors

  • Inadequate documentation of patient consent
  • Failure to document the reasons for termination
  • Misuse of the code in non-elective situations
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history, reasons for termination, and any counseling provided.

Common Clinical Scenarios

Routine checkups, pre- and post-termination counseling, and follow-up visits.

Billing Considerations

Consideration of social determinants such as access to contraception and education on reproductive health.

Public Health

Documentation Requirements

Documentation should include population-level data and surveillance of termination rates.

Common Clinical Scenarios

Epidemiological studies, community health assessments, and preventive health initiatives.

Billing Considerations

Focus on tracking health disparities and access to reproductive health services.

Coding Guidelines

Inclusion Criteria

Use Z33.2 When
  • Z codes are used when a patient encounters health services for reasons other than a current illness or injury
  • 2 should be sequenced appropriately, often as a primary diagnosis when the encounter is solely for termination
  • Payer requirements may vary, so it's essential to verify coverage for elective procedures

Exclusion Criteria

Do NOT use Z33.2 When
No specific exclusions found.

Related CPT Codes

58661CPT Code

Endometrial biopsy

Clinical Scenario

Used in conjunction with Z33.2 for pre-termination evaluation.

Documentation Requirements

Document indications for biopsy and findings.

Specialty Considerations

Primary care providers may perform this as part of the evaluation process.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding encounters like Z33.2, improving data collection and analysis related to elective terminations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding encounters like Z33.2, improving data collection and analysis related to elective terminations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding encounters like Z33.2, improving data collection and analysis related to elective terminations.

Resources

Clinical References

  • •
    CDC Guidelines on Abortion

Coding & Billing References

  • •
    CDC Guidelines on Abortion

Frequently Asked Questions

What documentation is required for Z33.2?

Documentation must include the patient's consent, reasons for seeking termination, and any counseling or follow-up care provided. It's essential to capture the social determinants influencing the patient's decision.