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Compare/Z30.8 vs Z31.42

Z30.8 vs Z31.42

Z30.8 (Encounter for other contraceptive management) compared with Z31.42 (Aftercare following sterilization reversal), 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. Z30.8 carries an Excludes1 note covering Z31.42: “sperm count following sterilization reversal (Z31.42)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. Z31.42 carries an Excludes1 note covering Z30.8: “postvasectomy sperm count (Z30.8)”

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

Z30.8Encounter for other contraceptive managementZ31.42Aftercare following sterilization reversal
Billing statusBillableBillable
ClassificationZ00-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)
DefinitionEncounter for other contraceptive management is a billable ICD-10-CM diagnosis code (Z30.8).Aftercare following sterilization reversal is a billable ICD-10-CM diagnosis code (Z31.42).
Includes
Encounter for postvasectomy sperm count
Encounter for routine examination for contraceptive maintenance
Sperm count following sterilization reversal

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources