2020 ICD-10-CM Diagnosis Code Z31.5

Encounter for procreative genetic counseling

    2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code POA Exempt
  • Z31.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z31.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z31.5 - other international versions of ICD-10 Z31.5 may differ.
The following code(s) above Z31.5 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 Z31.5:
  • Z00-Z99
    2020 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 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications associated with artificial fertilization (N98.-)
    • female infertility (N97.-)
    • male infertility (N46.-)
    Encounter for procreative management
Approximate Synonyms
  • Counseling, genetics, advanced maternal age
  • Genetic counseling
  • Genetic counseling done
  • Genetic counseling for abnormal ultrasound done
  • Genetic counseling for advanced maternal age done
  • Genetic counseling for california prenatal screen
  • Genetic counseling for chromosome disorder with fetus at risk done
  • Genetic counseling for chromosome disorder with patient at risk done
  • Genetic counseling for congenital anomaly with fetus at risk done
  • Genetic counseling for consanguinity done
  • Genetic counseling for expanded alpha feto protein screen positive done
  • Genetic counseling for heritable cancer
  • Genetic counseling for heritable cancer with patient at risk done
  • Genetic counseling for heritable disorder with fetus at risk done
  • Genetic counseling for heritable disorder with patient at risk done
  • Genetic counseling for metabolic disorder
  • Genetic counseling for metabolic disorder with fetus at risk done
  • Genetic counseling for metabolic disorder with patient at risk done
  • Genetic counseling for neurogenetic disorder with fetus at risk done
  • Genetic counseling for neurogenetic disorder with patient at risk done
  • Genetic counseling for patient at risk for congenital anomaly done
  • Genetic counseling for positive california prenatal screen done
  • Genetic counseling for teratogen done
  • Genetic counseling, abnormal ultrasound
  • Genetic counseling, consanguinity
  • Genetic counseling, expanded afp screen positive
  • Genetic counseling, teratogen
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z31.5 is considered exempt from POA reporting.
ICD-10-CM Z31.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z31.5 to ICD-9-CM

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): Revised code
    • New description: Encounter for procreative genetic counseling
    • 2017 description: Encounter for genetic counseling
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Z31.5:
  • Type 1 Excludes: Z71.83
    ICD-10-CM Diagnosis Code Z71.83

    Encounter for nonprocreative genetic counseling

      2018 - New Code 2019 2020 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • counseling for procreative genetics (Z31.5)
    • counseling for procreative management (Z31.6)
  • 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 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)

Diagnosis Index entries containing back-references to Z31.5:
  • Counseling (for) Z71.9
    ICD-10-CM Diagnosis Code Z71.9

    Counseling, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for medical advice NOS
  • Encounter (with health service) (for) Z76.89
    ICD-10-CM Diagnosis Code Z76.89

    Persons encountering health services in other specified circumstances

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Persons encountering health services NOS

ICD-10-CM Codes Adjacent To Z31.5
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
Z31.62 Encounter for fertility preservation counseling
Z31.69 Encounter for other general counseling and advice on procreation
Z31.7 Encounter for procreative management and counseling for gestational carrier
Z31.8 Encounter for other procreative management
Z31.81 Encounter for male factor infertility in female patient
Z31.82 Encounter for Rh incompatibility status
Z31.83 Encounter for assisted reproductive fertility procedure cycle
Z31.84 Encounter for fertility preservation procedure

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