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Compare/N46 vs Z31

N46 vs Z31

N46 (Male infertility) compared with Z31 (Encounter for procreative management), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. Z31 carries an Excludes2 note covering N46: “male infertility (N46.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

N46Male infertilityZ31Encounter for procreative management
Billing statusNon-billable header

Report instead: N46.01, N46.021, N46.022, N46.023, N46.024

Non-billable header

Report instead: Z31.0, Z31.41, Z31.42, Z31.430, Z31.438

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionMale infertility is a non-billable ICD-10-CM category code (N46).Encounter for procreative management is a non-billable ICD-10-CM category code (Z31).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources