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ICD-10-CM 2027

ICD-10 code for sperm counts

Z31.41

Encounter for fertility testing

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Sperm counts (fertility testing)”. Page updated September 29, 2026.

About coding sperm counts

The ICD-10-CM code for sperm counts is Z31.41 (Encounter for fertility testing). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z31.41.

Within Z31.4 (encounter for procreative investigation and testing), Z31.41 is specifically for encounter for fertility testing. Related codes cover aftercare following sterilization reversal (Z31.42), encounter for genetic testing of female for procreative management (Z31.43), encounter for genetic testing of male for procreative management (Z31.44) and encounter for other procreative investigation and testing (Z31.49).

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 sperm counts codes (official index)

  • postvasectomy Z30.8 — Encounter for other contraceptive management
  • reversal Z31.42 — Aftercare following sterilization reversal

Common questions about sperm counts ICD-10 codes

What is the ICD-10 code for sperm counts?

Z31.41 — Encounter for fertility testing. More specific codes apply when the documentation supports them: Z30.8, Z31.42.

What is the ICD-10 code for postvasectomy sperm counts?

Z30.8 — Encounter for other contraceptive management.

Is Z31.41 billable?

Yes. Z31.41 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z31.41 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 Z31.41 a CC or MCC?

No. Z31.41 is neither a CC nor an MCC under MS-DRG v44.0.