2023 ICD-10-CM Diagnosis Code Z39.1

Encounter for care and examination of lactating mother

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
  • Z39.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z39.1 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z39.1 - other international versions of ICD-10 Z39.1 may differ.
ICD-10-CM Coding Rules
  • Z39.1 is applicable to maternity patients aged 12 - 55 years inclusive.
  • Z39.1 is applicable to female patients.
Applicable To
  • Encounter for supervision of lactation
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 Z39.1. 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.
  • disorders of lactation (
    ICD-10-CM Diagnosis Code O92
    • O92 Other disorders of breast and disorders of la...
      • O92.0 Retracted nipple associated with pregnancy, t...
        • O92.01 Retracted nipple associated with pregnancy
          • O92.011 Retracted nipple associated with pregnancy, f...
          • O92.012 Retracted nipple associated with pregnancy, s...
          • O92.013 Retracted nipple associated with pregnancy, t...
          • O92.019 Retracted nipple associated with pregnancy, u...
        • O92.02 Retracted nipple associated with the puerperi...
        • O92.03 Retracted nipple associated with lactation
      • O92.1 Cracked nipple associated with pregnancy, the...
        • O92.11 Cracked nipple associated with pregnancy
          • O92.111 Cracked nipple associated with pregnancy, fir...
          • O92.112 Cracked nipple associated with pregnancy, sec...
          • O92.113 Cracked nipple associated with pregnancy, thi...
          • O92.119 Cracked nipple associated with pregnancy, uns...
        • O92.12 Cracked nipple associated with the puerperium...
        • O92.13 Cracked nipple associated with lactation
      • O92.2 Other and unspecified disorders of breast ass...
        • O92.20 Unspecified disorder of breast associated wit...
        • O92.29 Other disorders of breast associated with pre...
      • O92.3 Agalactia
      • O92.4 Hypogalactia
      • O92.5 Suppressed lactation
      • O92.6 Galactorrhea
      • O92.7 Other and unspecified disorders of lactation
        • O92.70 Unspecified disorders of lactation
        • O92.79 Other disorders of lactation
    O92.-
    )
The following code(s) above Z39.1 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 Z39.1:
  • Z00-Z99
    2023 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
Approximate Synonyms
  • Breast feeding
  • Mother and baby program lactation education
  • Mother and baby program lactation education done
  • Normal breast feeding
  • Postpartum (after childbirth) care of lactating mother
  • Postpartum care of lactating mother done
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.
  • Z39.1 is considered exempt from POA reporting.
ICD-10-CM Z39.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z39.1 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): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to Z39.1:
  • Care (of) (for) (following)
    • lactating mother Z39.1
  • Examination (for) (following) (general) (of) (routine) Z00.00
    ICD-10-CM Diagnosis Code Z00.00

    Encounter for general adult medical examination without abnormal findings

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    Applicable To
    • Encounter for adult health check-up NOS
    • lactating mother Z39.1
  • Lactation, lactating (breast) (puerperal, postpartum)
    • mother Z39.1 (care and/or examination)
  • Supervision (of)
    • lactation Z39.1

ICD-10-CM Codes Adjacent To Z39.1
Z38.63 Quadruplet liveborn infant, delivered vaginally
Z38.64 Quadruplet liveborn infant, delivered by cesarean
Z38.65 Quintuplet liveborn infant, delivered vaginally
Z38.66 Quintuplet liveborn infant, delivered by cesarean
Z38.68 Other multiple liveborn infant, delivered vaginally
Z38.69 Other multiple liveborn infant, delivered by cesarean
Z38.7 Other multiple liveborn infant, born outside hospital
Z38.8 Other multiple liveborn infant, unspecified as to place of birth
Z39 Encounter for maternal postpartum care and examination
Z39.0 Encounter for care and examination of mother immediately after delivery
Z39.1 Encounter for care and examination of lactating mother
Z39.2 Encounter for routine postpartum follow-up
Z40 Encounter for prophylactic surgery
Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms
Z40.00 Encounter for prophylactic removal of unspecified organ
Z40.01 Encounter for prophylactic removal of breast
Z40.02 Encounter for prophylactic removal of ovary(s)
Z40.03 Encounter for prophylactic removal of fallopian tube(s)
Z40.09 Encounter for prophylactic removal of other organ
Z40.8 Encounter for other prophylactic surgery
Z40.9 Encounter for prophylactic surgery, unspecified

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