Persons encountering health services in circumstances related to reproduction (Z30-Z39)
Z30Encounter for contraceptive management
Z30.0Encounter for general counseling and advice on contraception
Z30.01Encounter for initial prescription of contraceptives
Excludes 1: encounter for surveillance of contraceptives (Z30.4-)
Z30.011Encounter for initial prescription of contraceptive pills
Z30.012Encounter for prescription of emergency contraception
› Encounter for postcoital contraception
Z30.013Encounter for initial prescription of injectable contraceptive
Z30.014Encounter for initial prescription of intrauterine contraceptive device
Excludes 1: encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432)
Z30.015Encounter for initial prescription of vaginal ring hormonal contraceptive
Z30.016Encounter for initial prescription of transdermal patch hormonal contraceptive device
Z30.017Encounter for initial prescription of implantable subdermal contraceptive
Z30.018Encounter for initial prescription of other contraceptives
› Encounter for initial prescription of barrier contraception
› Encounter for initial prescription of diaphragm
Z30.019Encounter for initial prescription of contraceptives, unspecified
Z30.02Counseling and instruction in natural family planning to avoid pregnancy
Z30.09Encounter for other general counseling and advice on contraception
› Encounter for family planning advice NOS
Z30.2Encounter for sterilization
Z30.4Encounter for surveillance of contraceptives
Z30.40Encounter for surveillance of contraceptives, unspecified
Z30.41Encounter for surveillance of contraceptive pills
› Encounter for repeat prescription for contraceptive pill
Z30.42Encounter for surveillance of injectable contraceptive
Z30.43Encounter for surveillance of intrauterine contraceptive device
Z30.430Encounter for insertion of intrauterine contraceptive device
Z30.431Encounter for routine checking of intrauterine contraceptive device
Z30.432Encounter for removal of intrauterine contraceptive device
Z30.433Encounter for removal and reinsertion of intrauterine contraceptive device
› Encounter for replacement of intrauterine contraceptive device
Z30.44Encounter for surveillance of vaginal ring hormonal contraceptive device
Z30.45Encounter for surveillance of transdermal patch hormonal contraceptive device
Z30.46Encounter for surveillance of implantable subdermal contraceptive
› Encounter for checking, reinsertion or removal of implantable subdermal contraceptive
Z30.49Encounter for surveillance of other contraceptives
› Encounter for surveillance of barrier contraception
› Encounter for surveillance of diaphragm
Z30.8Encounter for other contraceptive management
› Encounter for postvasectomy sperm count
› Encounter for routine examination for contraceptive maintenance
Excludes 1: sperm count following sterilization reversal (Z31.42)
› sperm count for fertility testing (Z31.41)
Z30.9Encounter for contraceptive management, unspecified
Z31Encounter for procreative management
Excludes 2: complications associated with artificial fertilization (N98.-)
› female infertility (N97.-)
› male infertility (N46.-)
Z31.0Encounter for reversal of previous sterilization
Z31.4Encounter for procreative investigation and testing
Excludes 1: postvasectomy sperm count (Z30.8)
Z31.41Encounter for fertility testing
› Encounter for fallopian tube patency testing
› Encounter for sperm count for fertility testing
Z31.42Aftercare following sterilization reversal
› Sperm count following sterilization reversal
Z31.43Encounter for genetic testing of female for procreative management
Use Additional Code: code for recurrent pregnancy loss, if applicable (N96, O26.2-)
Excludes 1: nonprocreative genetic testing (Z13.7-)
Z31.430Encounter of female for testing for genetic disease carrier status for procreative management
Z31.438Encounter for other genetic testing of female for procreative management
Z31.44Encounter for genetic testing of male for procreative management
Excludes 1: nonprocreative genetic testing (Z13.7-)
Z31.440Encounter of male for testing for genetic disease carrier status for procreative management
Z31.441Encounter for testing of male partner of patient with recurrent pregnancy loss
Z31.448Encounter for other genetic testing of male for procreative management
Z31.49Encounter for other procreative investigation and testing
Z31.5Encounter for procreative genetic counseling
Z31.6Encounter for general counseling and advice on procreation
Z31.61Procreative counseling and advice using natural family planning
Z31.62Encounter for fertility preservation counseling
› Encounter for fertility preservation counseling prior to cancer therapy
› Encounter for fertility preservation counseling prior to surgical removal of gonads
Z31.69Encounter for other general counseling and advice on procreation
Z31.7Encounter for procreative management and counseling for gestational carrier
Excludes 1: pregnant state, gestational carrier (Z33.3)
Z31.8Encounter for other procreative management
Z31.81Encounter for male factor infertility in female patient
Z31.82Encounter for Rh incompatibility status
Z31.83Encounter for assisted reproductive fertility procedure cycle
› Patient undergoing in vitro fertilization cycle
Use Additional Code: code to identify the type of infertility
Excludes 1: pre-cycle diagnosis and testing - code to reason for encounter
Z31.84Encounter for fertility preservation procedure
› Encounter for fertility preservation procedure prior to cancer therapy
› Encounter for fertility preservation procedure prior to surgical removal of gonads
Z31.89Encounter for other procreative management
Z31.9Encounter for procreative management, unspecified
Z32Encounter for pregnancy test and childbirth and childcare instruction
Z32.0Encounter for pregnancy test
Z32.00Encounter for pregnancy test, result unknown
› Encounter for pregnancy test NOS
Z32.01Encounter for pregnancy test, result positive
Z32.02Encounter for pregnancy test, result negative
Z32.2Encounter for childbirth instruction
Z32.3Encounter for childcare instruction
› Encounter for prenatal or postpartum childcare instruction
Z33Pregnant state
Z33.1Pregnant state, incidental
› Pregnancy NOS
› Pregnant state NOS
Excludes 1: complications of pregnancy (O00-O9A)
› pregnant state, gestational carrier (Z33.3)
Z33.2Encounter for elective termination of pregnancy
Excludes 1: early fetal death with retention of dead fetus (O02.1)
› late fetal death (O36.4)
› spontaneous abortion (O03)
Z33.3Pregnant state, gestational carrier
Excludes 1: encounter for procreative management and counseling for gestational carrier (Z31.7)
Z34Encounter for supervision of normal pregnancy
Excludes 1: any complication of pregnancy (O00-O9A)
› encounter for pregnancy test (Z32.0-)
› encounter for supervision of high risk pregnancy (O09.-)
Z34.0Encounter for supervision of normal first pregnancy
Z34.00Encounter for supervision of normal first pregnancy, unspecified trimester
Z34.01Encounter for supervision of normal first pregnancy, first trimester
Z34.02Encounter for supervision of normal first pregnancy, second trimester
Z34.03Encounter for supervision of normal first pregnancy, third trimester
Z34.8Encounter for supervision of other normal pregnancy
Z34.80Encounter for supervision of other normal pregnancy, unspecified trimester
Z34.81Encounter for supervision of other normal pregnancy, first trimester
Z34.82Encounter for supervision of other normal pregnancy, second trimester
Z34.83Encounter for supervision of other normal pregnancy, third trimester
Z34.9Encounter for supervision of normal pregnancy, unspecified
Z34.90Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z34.91Encounter for supervision of normal pregnancy, unspecified, first trimester
Z34.92Encounter for supervision of normal pregnancy, unspecified, second trimester
Z34.93Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36Encounter for antenatal screening of mother
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.
Excludes 1: 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
Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
› genetic counseling and testing (Z31.43-, Z31.5)
› routine prenatal care (Z34)
Z36.0Encounter for antenatal screening for chromosomal anomalies
Z36.1Encounter for antenatal screening for raised alphafetoprotein level
› Encounter for antenatal screening for elevated maternal serum alphafetoprotein level
Z36.2Encounter for other antenatal screening follow-up
› Non-visualized anatomy on a previous scan
Z36.3Encounter for antenatal screening for malformations
› Screening for a suspected anomaly
Z36.4Encounter for antenatal screening for fetal growth retardation
› Intrauterine growth restriction (IUGR)/small-for-dates
Z36.5Encounter for antenatal screening for isoimmunization
Z36.8Encounter for other antenatal screening
Z36.81Encounter for antenatal screening for hydrops fetalis
Z36.82Encounter for antenatal screening for nuchal translucency
Z36.83Encounter for fetal screening for congenital cardiac abnormalities
Z36.84Encounter for antenatal screening for fetal lung maturity
Z36.85Encounter for antenatal screening for Streptococcus B
Z36.86Encounter for antenatal screening for cervical length
› Screening for risk of pre-term labor
Z36.87Encounter for antenatal screening for uncertain dates
Z36.88Encounter for antenatal screening for fetal macrosomia
› Screening for large-for-dates
Z36.89Encounter for other specified antenatal screening
Z36.8AEncounter for antenatal screening for other genetic defects
Z36.9Encounter for antenatal screening, unspecified
Z3AWeeks of gestation
Codes from category Z3A are for use, only on the maternal record, to indicate the weeks of gestation of the pregnancy, if known.
Z3A.0Weeks of gestation of pregnancy, unspecified or less than 10 weeks
Z3A.00Weeks of gestation of pregnancy not specified
Z3A.01Less than 8 weeks gestation of pregnancy
Z3A.088 weeks gestation of pregnancy
Z3A.099 weeks gestation of pregnancy
Z3A.1Weeks of gestation of pregnancy, weeks 10-19
Z3A.1010 weeks gestation of pregnancy
Z3A.1111 weeks gestation of pregnancy
Z3A.1212 weeks gestation of pregnancy
Z3A.1313 weeks gestation of pregnancy
Z3A.1414 weeks gestation of pregnancy
Z3A.1515 weeks gestation of pregnancy
Z3A.1616 weeks gestation of pregnancy
Z3A.1717 weeks gestation of pregnancy
Z3A.1818 weeks gestation of pregnancy
Z3A.1919 weeks gestation of pregnancy
Z3A.2Weeks of gestation of pregnancy, weeks 20-29
Z3A.2020 weeks gestation of pregnancy
Z3A.2121 weeks gestation of pregnancy
Z3A.2222 weeks gestation of pregnancy
Z3A.2323 weeks gestation of pregnancy
Z3A.2424 weeks gestation of pregnancy
Z3A.2525 weeks gestation of pregnancy
Z3A.2626 weeks gestation of pregnancy
Z3A.2727 weeks gestation of pregnancy
Z3A.2828 weeks gestation of pregnancy
Z3A.2929 weeks gestation of pregnancy
Z3A.3Weeks of gestation of pregnancy, weeks 30-39
Z3A.3030 weeks gestation of pregnancy
Z3A.3131 weeks gestation of pregnancy
Z3A.3232 weeks gestation of pregnancy
Z3A.3333 weeks gestation of pregnancy
Z3A.3434 weeks gestation of pregnancy
Z3A.3535 weeks gestation of pregnancy
Z3A.3636 weeks gestation of pregnancy
Z3A.3737 weeks gestation of pregnancy
Z3A.3838 weeks gestation of pregnancy
Z3A.3939 weeks gestation of pregnancy
Z3A.4Weeks of gestation of pregnancy, weeks 40 or greater
Z3A.4040 weeks gestation of pregnancy
Z3A.4141 weeks gestation of pregnancy
Z3A.4242 weeks gestation of pregnancy
Z3A.49Greater than 42 weeks gestation of pregnancy
Z37Outcome of delivery
› This category is intended for use as an additional code to identify the outcome of delivery on the mother's record. It is not for use on the newborn record.
Excludes 1: stillbirth (P95)
Z37.0Single live birth
Z37.1Single stillbirth
Z37.2Twins, both liveborn
Z37.3Twins, one liveborn and one stillborn
Z37.4Twins, both stillborn
Z37.5Other multiple births, all liveborn
Z37.50Multiple births, unspecified, all liveborn
Z37.51Triplets, all liveborn
Z37.52Quadruplets, all liveborn
Z37.53Quintuplets, all liveborn
Z37.54Sextuplets, all liveborn
Z37.59Other multiple births, all liveborn
Z37.6Other multiple births, some liveborn
Z37.60Multiple births, unspecified, some liveborn
Z37.61Triplets, some liveborn
Z37.62Quadruplets, some liveborn
Z37.63Quintuplets, some liveborn
Z37.64Sextuplets, some liveborn
Z37.69Other multiple births, some liveborn
Z37.7Other multiple births, all stillborn
Z37.9Outcome of delivery, unspecified
› Multiple birth NOS
› Single birth NOS
Z38Liveborn infants according to place of birth and type of delivery
› This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother's record.
Z38.0Single liveborn infant, born in hospital
› Single liveborn infant, born in birthing center or other health care facility
Z38.00Single liveborn infant, delivered vaginally
Z38.01Single liveborn infant, delivered by cesarean
Z38.1Single liveborn infant, born outside hospital
Z38.2Single liveborn infant, unspecified as to place of birth
› Single liveborn infant NOS
Z38.3Twin liveborn infant, born in hospital
Z38.30Twin liveborn infant, delivered vaginally
Z38.31Twin liveborn infant, delivered by cesarean
Z38.4Twin liveborn infant, born outside hospital
Z38.5Twin liveborn infant, unspecified as to place of birth
Z38.6Other multiple liveborn infant, born in hospital
Z38.61Triplet liveborn infant, delivered vaginally
Z38.62Triplet liveborn infant, delivered by cesarean
Z38.63Quadruplet liveborn infant, delivered vaginally
Z38.64Quadruplet liveborn infant, delivered by cesarean
Z38.65Quintuplet liveborn infant, delivered vaginally
Z38.66Quintuplet liveborn infant, delivered by cesarean
Z38.68Other multiple liveborn infant, delivered vaginally
Z38.69Other multiple liveborn infant, delivered by cesarean
Z38.7Other multiple liveborn infant, born outside hospital
Z38.8Other multiple liveborn infant, unspecified as to place of birth
Z39Encounter for maternal postpartum care and examination
Z39.0Encounter for care and examination of mother immediately after delivery
› Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
Excludes 1: care for postpartum complication- see Alphabetic index
Z39.1Encounter for care and examination of lactating mother
› Encounter for supervision of lactation
Excludes 1: disorders of lactation (O92.-)
Z39.2Encounter for routine postpartum follow-up