2021 ICD-10-CM Diagnosis Code Z31.43

Encounter for genetic testing of female for procreative management

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • Z31.43 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Encounter for genetic testing of female for pro mgmt
  • The 2021 edition of ICD-10-CM Z31.43 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of Z31.43 - other international versions of ICD-10 Z31.43 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for recurrent pregnancy loss, if applicable (
    ICD-10-CM Diagnosis Code N96

    Recurrent pregnancy loss

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Female Dx
    Applicable To
    • Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss
    Type 1 Excludes
    • recurrent pregancy loss with current pregnancy (O26.2-)
    N96
    ,
    ICD-10-CM Diagnosis Code O26.2

    Pregnancy care for patient with recurrent pregnancy loss

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    O26.2-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z31.43. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • nonprocreative genetic testing (
    ICD-10-CM Diagnosis Code Z13.7

    Encounter for screening for genetic and chromosomal anomalies

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • genetic testing for procreative management (Z31.4-)
    Z13.7-
    )
The following code(s) above Z31.43 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z31.43:
  • Z00-Z99
    2021 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z31
    ICD-10-CM Diagnosis Code Z31

    Encounter for procreative management

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications associated with artificial fertilization (N98.-)
    • female infertility (N97.-)
    • male infertility (N46.-)
    Encounter for procreative management
  • Z31.4
    ICD-10-CM Diagnosis Code Z31.4

    Encounter for procreative investigation and testing

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • postvasectomy sperm count (Z30.8)
    Encounter for procreative investigation and testing
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to Z31.43:
  • Type 2 Excludes: Z36
    ICD-10-CM Diagnosis Code Z36

    Encounter for antenatal screening of mother

      2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code
    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.
    Type 1 Excludes
    • 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
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • genetic counseling and testing (Z31.43-, Z31.5)
    • routine prenatal care (Z34)
ICD-10-CM Codes Adjacent To Z31.43
Z30.45 Encounter for surveillance of transdermal patch hormonal contraceptive device
Z30.46 Encounter for surveillance of implantable subdermal contraceptive
Z30.49 Encounter for surveillance of other contraceptives
Z30.8 Encounter for other contraceptive management
Z30.9 Encounter for contraceptive management, unspecified
Z31 Encounter for procreative management
Z31.0 Encounter for reversal of previous sterilization
Z31.4 Encounter for procreative investigation and testing
Z31.41 Encounter for fertility testing
Z31.42 Aftercare following sterilization reversal
Z31.43 Encounter for genetic testing of female for procreative management
Z31.430 Encounter of female for testing for genetic disease carrier status for procreative management
Z31.438 Encounter for other genetic testing of female for procreative management
Z31.44 Encounter for genetic testing of male for procreative management
Z31.440 Encounter of male for testing for genetic disease carrier status for procreative management
Z31.441 Encounter for testing of male partner of patient with recurrent pregnancy loss
Z31.448 Encounter for other genetic testing of male for procreative management
Z31.49 Encounter for other procreative investigation and testing
Z31.5 Encounter for procreative genetic counseling
Z31.6 Encounter for general counseling and advice on procreation
Z31.61 Procreative counseling and advice using natural family planning

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.