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ICD-10-CM 2027

ICD-10 code for procreative management

Z31.9

Encounter for procreative management, unspecified

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Management (of) › procreative”. Page updated September 29, 2026.

About coding procreative management

The ICD-10-CM code for procreative management is Z31.9 (Encounter for procreative management, unspecified). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z31.9.

Within Z31, choose Z31.9 (unspecified) only when documentation doesn't support a more specific option: reversal of previous sterilization (Z31.0), procreative investigation and testing (Z31.4), procreative genetic counseling (Z31.5), general counseling and advice on procreation (Z31.6), and counseling for gestational carrier (Z31.7) and other procreative management (Z31.8).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific procreative management codes (official index)

  • male factor infertility in female Z31.81 — Encounter for male factor infertility in female patient
  • specified NEC Z31.89 — Encounter for other procreative management

Common questions about procreative management ICD-10 codes

What is the ICD-10 code for procreative management?

Z31.9 — Encounter for procreative management, unspecified. More specific codes apply when the documentation supports them: Z31.81, Z31.89.

Is Z31.9 billable?

Yes. Z31.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z31.9 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z31.9 a CC or MCC?

No. Z31.9 is neither a CC nor an MCC under MS-DRG v44.0.