Encounter for male factor infertility in female patient
ICD-10 Z31.81 is a billable code used to indicate a diagnosis of encounter for male factor infertility in female patient.
Z31.81 is used to document encounters for female patients who are experiencing male factor infertility. This code highlights the importance of understanding the male partner's reproductive health as a significant factor in the couple's infertility. Clinical context includes the evaluation of male infertility factors such as sperm quality, quantity, and motility, which can significantly impact a couple's ability to conceive. Social determinants of health, such as socioeconomic status, access to healthcare, and education, play a crucial role in infertility treatment and outcomes. Preventive care may involve counseling on lifestyle modifications, screening for sexually transmitted infections, and education on reproductive health. Screening for male factor infertility often includes semen analysis and hormonal evaluations. Aftercare may involve follow-up visits to monitor treatment progress and address any psychological impacts of infertility. Proper documentation is essential to ensure accurate coding and to facilitate appropriate care pathways.
Documentation should include a thorough history of both partners, any previous infertility treatments, and lifestyle factors affecting fertility.
Routine checkups for couples trying to conceive, referrals for infertility specialists, and counseling sessions.
Consideration of social determinants such as access to fertility services, financial barriers, and emotional support systems.
Population-level data on infertility rates, access to reproductive health services, and outcomes of infertility treatments.
Community health assessments, educational programs on reproductive health, and initiatives to improve access to care.
Focus on health equity and addressing disparities in infertility treatment access among different populations.
Used in conjunction with Z31.81 when evaluating male factor infertility.
Documentation of the semen analysis results and any relevant history.
Primary care providers should ensure proper referral to specialists for comprehensive evaluations.
Z31.81 should be used during encounters focused on male factor infertility in female patients, particularly when the male partner's reproductive health is a significant concern in the infertility evaluation.
