Z30.43 vs Z97.5
Z30.43 (Encounter for surveillance of intrauterine contraceptive device) compared with Z97.5 (Presence of (intrauterine) contraceptive device), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z97.5 carries an Excludes1 note covering Z30.43: “checking, reinsertion or removal of intrauterine contraceptive device (Z30.43-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Z30.43Encounter for surveillance of intrauterine contraceptive device | Z97.5Presence of (intrauterine) contraceptive device | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Encounter for surveillance of intrauterine contraceptive device is a non-billable ICD-10-CM category code (Z30.43). | Presence of (intrauterine) contraceptive device is a billable ICD-10-CM diagnosis code (Z97.5). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources