ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 21  /  Z30-Z39

Persons encountering health services in circumstances related to reproduction (Z30-Z39)

Z30 Encounter for contraceptive management
Z30.0 Encounter for general counseling and advice on contraception
Z30.01 Encounter for initial prescription of contraceptives
Excludes1 encounter for surveillance of contraceptives (Z30.4-)
Z30.011 Encounter for initial prescription of contraceptive pills
sex Female
nonPrimary Yes
Z30.012 Encounter for prescription of emergency contraception
Encounter for postcoital contraception
sex Female
nonPrimary Yes
Z30.013 Encounter for initial prescription of injectable contraceptive
sex Female
nonPrimary Yes
Z30.014 Encounter for initial prescription of intrauterine contraceptive device
Excludes1 encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432)
sex Female
nonPrimary Yes
Z30.015 Encounter for initial prescription of vaginal ring hormonal contraceptive
sex Female
nonPrimary Yes
Z30.016 Encounter for initial prescription of transdermal patch hormonal contraceptive device
nonPrimary Yes
Z30.017 Encounter for initial prescription of implantable subdermal contraceptive
nonPrimary Yes
Z30.018 Encounter for initial prescription of other contraceptives
Encounter for initial prescription of barrier contraception
Encounter for initial prescription of diaphragm
sex Female
nonPrimary Yes
Z30.019 Encounter for initial prescription of contraceptives, unspecified
sex Female
nonPrimary Yes
Z30.02 Counseling and instruction in natural family planning to avoid pregnancy
nonPrimary Yes
Z30.09 Encounter for other general counseling and advice on contraception
Encounter for family planning advice NOS
nonPrimary Yes
Z30.2 Encounter for sterilization
Z30.4 Encounter for surveillance of contraceptives
Z30.40 Encounter for surveillance of contraceptives, unspecified
nonPrimary Yes
Z30.41 Encounter for surveillance of contraceptive pills
Encounter for repeat prescription for contraceptive pill
sex Female
nonPrimary Yes
Z30.42 Encounter for surveillance of injectable contraceptive
sex Female
nonPrimary Yes
Z30.43 Encounter for surveillance of intrauterine contraceptive device
Z30.430 Encounter for insertion of intrauterine contraceptive device
sex Female
nonPrimary Yes
Z30.431 Encounter for routine checking of intrauterine contraceptive device
sex Female
nonPrimary Yes
Z30.432 Encounter for removal of intrauterine contraceptive device
sex Female
nonPrimary Yes
Z30.433 Encounter for removal and reinsertion of intrauterine contraceptive device
Encounter for replacement of intrauterine contraceptive device
sex Female
nonPrimary Yes
Z30.44 Encounter for surveillance of vaginal ring hormonal contraceptive device
sex Female
nonPrimary Yes
Z30.45 Encounter for surveillance of transdermal patch hormonal contraceptive device
sex Female
nonPrimary Yes
Z30.46 Encounter for surveillance of implantable subdermal contraceptive
Encounter for checking, reinsertion or removal of implantable subdermal contraceptive
sex Female
nonPrimary Yes
Z30.49 Encounter for surveillance of other contraceptives
Encounter for surveillance of barrier contraception
Encounter for surveillance of diaphragm
sex Female
nonPrimary Yes
Z30.8 Encounter for other contraceptive management
Encounter for postvasectomy sperm count
Encounter for routine examination for contraceptive maintenance
Excludes1 sperm count following sterilization reversal (Z31.42)
sperm count for fertility testing (Z31.41)
nonPrimary Yes
Z30.9 Encounter for contraceptive management, unspecified
nonPrimary Yes
Z31 Encounter for procreative management
Excludes2 complications associated with artificial fertilization (N98.-)
female infertility (N97.-)
male infertility (N46.-)
Z31.0 Encounter for reversal of previous sterilization
Z31.4 Encounter for procreative investigation and testing
Excludes1 postvasectomy sperm count (Z30.8)
Z31.41 Encounter for fertility testing
Encounter for fallopian tube patency testing
Encounter for sperm count for fertility testing
nonPrimary Yes
Z31.42 Aftercare following sterilization reversal
Sperm count following sterilization reversal
nonPrimary Yes
Z31.43 Encounter for genetic testing of female for procreative management
UseAdditionalCode code for recurrent pregnancy loss, if applicable (N96, O26.2-)
Excludes1 nonprocreative genetic testing (Z13.7-)
Z31.430 Encounter of female for testing for genetic disease carrier status for procreative management
sex Female
nonPrimary Yes
Z31.438 Encounter for other genetic testing of female for procreative management
sex Female
nonPrimary Yes
Z31.44 Encounter for genetic testing of male for procreative management
Excludes1 nonprocreative genetic testing (Z13.7-)
Z31.440 Encounter of male for testing for genetic disease carrier status for procreative management
sex Male
nonPrimary Yes
Z31.441 Encounter for testing of male partner of patient with recurrent pregnancy loss
sex Male
age Adult: [15-124]
nonPrimary Yes
Z31.448 Encounter for other genetic testing of male for procreative management
sex Male
age Adult: [15-124]
nonPrimary Yes
Z31.49 Encounter for other procreative investigation and testing
nonPrimary Yes
Z31.5 Encounter for procreative genetic counseling
nonPrimary Yes
Z31.6 Encounter for general counseling and advice on procreation
Z31.61 Procreative counseling and advice using natural family planning
nonPrimary Yes
Z31.62 Encounter for fertility preservation counseling
Encounter for fertility preservation counseling prior to cancer therapy
Encounter for fertility preservation counseling prior to surgical removal of gonads
nonPrimary Yes
Z31.69 Encounter for other general counseling and advice on procreation
nonPrimary Yes
Z31.7 Encounter for procreative management and counseling for gestational carrier
Excludes1 pregnant state, gestational carrier (Z33.3)
sex Female
nonPrimary Yes
Z31.8 Encounter for other procreative management
Z31.81 Encounter for male factor infertility in female patient
sex Female
nonPrimary Yes
Z31.82 Encounter for Rh incompatibility status
sex Female
nonPrimary Yes
Z31.83 Encounter for assisted reproductive fertility procedure cycle
Patient undergoing in vitro fertilization cycle
UseAdditionalCode code to identify the type of infertility
Excludes1 pre-cycle diagnosis and testing - code to reason for encounter
sex Female
nonPrimary Yes
Z31.84 Encounter for fertility preservation procedure
Encounter for fertility preservation procedure prior to cancer therapy
Encounter for fertility preservation procedure prior to surgical removal of gonads
nonPrimary Yes
Z31.89 Encounter for other procreative management
nonPrimary Yes
Z31.9 Encounter for procreative management, unspecified
nonPrimary Yes
Z32 Encounter for pregnancy test and childbirth and childcare instruction
Z32.0 Encounter for pregnancy test
Z32.00 Encounter for pregnancy test, result unknown
Encounter for pregnancy test NOS
sex Female
Z32.01 Encounter for pregnancy test, result positive
sex Female
age Maternity: [12-55]
Z32.02 Encounter for pregnancy test, result negative
sex Female
Z32.2 Encounter for childbirth instruction
nonPrimary Yes
Z32.3 Encounter for childcare instruction
Encounter for prenatal or postpartum childcare instruction
nonPrimary Yes
Z33 Pregnant state
Z33.1 Pregnant state, incidental
Pregnancy NOS
Pregnant state NOS
Excludes1 complications of pregnancy (O00-O9A)
pregnant state, gestational carrier (Z33.3)
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z33.2 Encounter for elective termination of pregnancy
Excludes1 early fetal death with retention of dead fetus (O02.1)
late fetal death (O36.4)
spontaneous abortion (O03)
sex Female
age Maternity: [12-55]
Z33.3 Pregnant state, gestational carrier
Excludes1 encounter for procreative management and counseling for gestational carrier (Z31.7)
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34 Encounter for supervision of normal pregnancy
Excludes1 any complication of pregnancy (O00-O9A)
encounter for pregnancy test (Z32.0-)
encounter for supervision of high risk pregnancy (O09.-)
Z34.0 Encounter for supervision of normal first pregnancy
Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.01 Encounter for supervision of normal first pregnancy, first trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.02 Encounter for supervision of normal first pregnancy, second trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.03 Encounter for supervision of normal first pregnancy, third trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.8 Encounter for supervision of other normal pregnancy
Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.81 Encounter for supervision of other normal pregnancy, first trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.82 Encounter for supervision of other normal pregnancy, second trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.83 Encounter for supervision of other normal pregnancy, third trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.9 Encounter for supervision of normal pregnancy, unspecified
Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z36 Encounter for antenatal screening of mother
Includes Encounter for placental sample (taken vaginally)
Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Excludes1 diagnostic examination- code to sign or symptom
encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15
Excludes2 abnormal findings on antenatal screening of mother (O28.-)
genetic counseling and testing (Z31.43-, Z31.5)
routine prenatal care (Z34)
Z36.0 Encounter for antenatal screening for chromosomal anomalies
sex Female
age Maternity: [12-55]
Z36.1 Encounter for antenatal screening for raised alphafetoprotein level
Encounter for antenatal screening for elevated maternal serum alphafetoprotein level
sex Female
age Maternity: [12-55]
Z36.2 Encounter for other antenatal screening follow-up
Non-visualized anatomy on a previous scan
sex Female
age Maternity: [12-55]
Z36.3 Encounter for antenatal screening for malformations
Screening for a suspected anomaly
sex Female
age Maternity: [12-55]
Z36.4 Encounter for antenatal screening for fetal growth retardation
Intrauterine growth restriction (IUGR)/small-for-dates
sex Female
age Maternity: [12-55]
Z36.5 Encounter for antenatal screening for isoimmunization
sex Female
age Maternity: [12-55]
Z36.8 Encounter for other antenatal screening
Z36.81 Encounter for antenatal screening for hydrops fetalis
sex Female
age Maternity: [12-55]
Z36.82 Encounter for antenatal screening for nuchal translucency
sex Female
age Maternity: [12-55]
Z36.83 Encounter for fetal screening for congenital cardiac abnormalities
sex Female
age Maternity: [12-55]
Z36.84 Encounter for antenatal screening for fetal lung maturity
sex Female
age Maternity: [12-55]
Z36.85 Encounter for antenatal screening for Streptococcus B
sex Female
age Maternity: [12-55]
Z36.86 Encounter for antenatal screening for cervical length
Screening for risk of pre-term labor
sex Female
age Maternity: [12-55]
Z36.87 Encounter for antenatal screening for uncertain dates
sex Female
age Maternity: [12-55]
Z36.88 Encounter for antenatal screening for fetal macrosomia
Screening for large-for-dates
sex Female
age Maternity: [12-55]
Z36.89 Encounter for other specified antenatal screening
sex Female
age Maternity: [12-55]
Z36.8A Encounter for antenatal screening for other genetic defects
sex Female
age Maternity: [12-55]
Z36.9 Encounter for antenatal screening, unspecified
sex Female
age Maternity: [12-55]
Z3A Weeks of gestation
Notes Codes from category Z3A are for use, only on the maternal record, to indicate the weeks of gestation of the pregnancy, if known.
CodeFirst obstetric condition or encounter for delivery (O09-O60, O80-O82)
Z3A.0 Weeks of gestation of pregnancy, unspecified or less than 10 weeks
Z3A.00 Weeks of gestation of pregnancy not specified
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.01 Less than 8 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.08 8 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.09 9 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.1 Weeks of gestation of pregnancy, weeks 10-19
Z3A.10 10 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.11 11 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.12 12 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.13 13 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.14 14 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.15 15 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.16 16 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.17 17 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.18 18 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.19 19 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.2 Weeks of gestation of pregnancy, weeks 20-29
Z3A.20 20 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.21 21 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.22 22 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.23 23 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.24 24 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.25 25 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.26 26 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.27 27 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.28 28 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.29 29 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.3 Weeks of gestation of pregnancy, weeks 30-39
Z3A.30 30 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.31 31 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.32 32 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.33 33 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.34 34 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.35 35 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.36 36 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.37 37 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.38 38 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.39 39 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.4 Weeks of gestation of pregnancy, weeks 40 or greater
Z3A.40 40 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.41 41 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.42 42 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z3A.49 Greater than 42 weeks gestation of pregnancy
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z37 Outcome of delivery
This category is intended for use as an additional code to identify the outcome of delivery on the mother's record. It is not for use on the newborn record.
Excludes1 stillbirth (P95)
Z37.0 Single live birth
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.1 Single stillbirth
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.2 Twins, both liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.3 Twins, one liveborn and one stillborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.4 Twins, both stillborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.5 Other multiple births, all liveborn
Z37.50 Multiple births, unspecified, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.51 Triplets, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.52 Quadruplets, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.53 Quintuplets, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.54 Sextuplets, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.59 Other multiple births, all liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.6 Other multiple births, some liveborn
Z37.60 Multiple births, unspecified, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.61 Triplets, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.62 Quadruplets, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.63 Quintuplets, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.64 Sextuplets, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.69 Other multiple births, some liveborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.7 Other multiple births, all stillborn
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z37.9 Outcome of delivery, unspecified
Multiple birth NOS
Single birth NOS
sex Female
age Maternity: [12-55]
nonPrimary Yes
invalidAdmission Yes
Z38 Liveborn infants according to place of birth and type of delivery
This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother's record.
Z38.0 Single liveborn infant, born in hospital
Single liveborn infant, born in birthing center or other health care facility
Z38.00 Single liveborn infant, delivered vaginally
age Newborn: 0
Z38.01 Single liveborn infant, delivered by cesarean
age Newborn: 0
Z38.1 Single liveborn infant, born outside hospital
age Newborn: 0
Z38.2 Single liveborn infant, unspecified as to place of birth
Single liveborn infant NOS
age Newborn: 0
Z38.3 Twin liveborn infant, born in hospital
Z38.30 Twin liveborn infant, delivered vaginally
age Newborn: 0
Z38.31 Twin liveborn infant, delivered by cesarean
age Newborn: 0
Z38.4 Twin liveborn infant, born outside hospital
age Newborn: 0
Z38.5 Twin liveborn infant, unspecified as to place of birth
age Newborn: 0
Z38.6 Other multiple liveborn infant, born in hospital
Z38.61 Triplet liveborn infant, delivered vaginally
age Newborn: 0
Z38.62 Triplet liveborn infant, delivered by cesarean
age Newborn: 0
Z38.63 Quadruplet liveborn infant, delivered vaginally
age Newborn: 0
Z38.64 Quadruplet liveborn infant, delivered by cesarean
age Newborn: 0
Z38.65 Quintuplet liveborn infant, delivered vaginally
age Newborn: 0
Z38.66 Quintuplet liveborn infant, delivered by cesarean
age Newborn: 0
Z38.68 Other multiple liveborn infant, delivered vaginally
age Newborn: 0
Z38.69 Other multiple liveborn infant, delivered by cesarean
age Newborn: 0
Z38.7 Other multiple liveborn infant, born outside hospital
age Newborn: 0
Z38.8 Other multiple liveborn infant, unspecified as to place of birth
age Newborn: 0
Z39 Encounter for maternal postpartum care and examination
Z39.0 Encounter for care and examination of mother immediately after delivery
Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
Excludes1 care for postpartum complication- see Alphabetic index
sex Female
age Maternity: [12-55]
Z39.1 Encounter for care and examination of lactating mother
Encounter for supervision of lactation
Excludes1 disorders of lactation (O92.-)
sex Female
age Maternity: [12-55]
nonPrimary Yes
Z39.2 Encounter for routine postpartum follow-up
sex Female
age Maternity: [12-55]
nonPrimary Yes