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v1.0.0
ICD-10 Guide
ICD-10 CodesZ31.84

Z31.84

Encounter for fertility preservation procedure

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

Code Description

ICD-10 Z31.84 is a billable code used to indicate a diagnosis of encounter for fertility preservation procedure.

Key Diagnostic Point:

Z31.84 is used to document encounters specifically for fertility preservation procedures, which may be necessary for individuals facing medical treatments that could impair fertility, such as chemotherapy or radiation therapy. This code reflects the growing recognition of the importance of reproductive health and the need for preventive measures in the context of health care. Social determinants of health, such as access to reproductive health services, socioeconomic status, and education, significantly influence the decision to pursue fertility preservation. Preventive care in this context involves counseling about fertility risks associated with certain medical treatments and the options available for preservation, including egg or sperm freezing. Screening for potential fertility issues may also be part of the encounter, ensuring that patients are informed and prepared for future reproductive choices. Aftercare may involve follow-up visits to discuss the outcomes of the preservation procedure and any further reproductive health planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of medical necessity for the procedure
  • Variability in patient circumstances and treatment plans
  • Potential for multiple procedures or services billed together
  • Influence of social determinants on patient decisions and outcomes

Audit Risk Factors

  • Insufficient documentation of medical necessity for the procedure
  • Failure to link the Z code with the appropriate CPT codes
  • Inconsistent patient history or treatment plans
  • Lack of follow-up documentation post-procedure

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history, reasons for the procedure, and any counseling provided regarding fertility risks and options.

Common Clinical Scenarios

Patients undergoing chemotherapy seeking fertility preservation, individuals with genetic conditions affecting fertility.

Billing Considerations

Consideration of social factors such as insurance coverage, access to fertility specialists, and patient education.

Public Health

Documentation Requirements

Documentation should include population health data, access to fertility preservation services, and outcomes tracking.

Common Clinical Scenarios

Community health initiatives aimed at increasing awareness of fertility preservation options among at-risk populations.

Billing Considerations

Focus on health equity and access to services for diverse populations.

Coding Guidelines

Inclusion Criteria

Use Z31.84 When
  • Z codes are used when a patient encounters health services for reasons other than a current illness or injury
  • 84 should be sequenced appropriately, often as a secondary code following a primary diagnosis related to the patient's medical condition necessitating fertility preservation
  • Payer requirements may vary, so it is essential to verify coverage for fertility preservation procedures

Exclusion Criteria

Do NOT use Z31.84 When
No specific exclusions found.

Related CPT Codes

58970CPT Code

Oocyte retrieval for cryopreservation

Clinical Scenario

Used in conjunction with Z31.84 when performing egg freezing procedures.

Documentation Requirements

Documentation must include consent for the procedure and details of the retrieval process.

Specialty Considerations

Primary care providers should ensure referrals to reproductive specialists are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding encounters for fertility preservation, enabling better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding encounters for fertility preservation, enabling better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding encounters for fertility preservation, enabling better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    ASRM Guidelines for Fertility Preservation

Coding & Billing References

  • •
    ASRM Guidelines for Fertility Preservation

Frequently Asked Questions

When should Z31.84 be used?

Z31.84 should be used when a patient is undergoing a fertility preservation procedure due to medical treatments that may impair fertility. Documentation must support the medical necessity and the procedure performed.