Z31.5 vs Z71.83
Z31.5 (Encounter for procreative genetic counseling) compared with Z71.83 (Encounter for nonprocreative genetic counseling), 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. Z71.83 carries an Excludes1 note covering Z31.5: “counseling for procreative genetics (Z31.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. Z71.83 carries an Excludes2 note covering Z31.5: “contraceptive or procreation counseling (Z30-Z31)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z31.5Encounter for procreative genetic counseling | Z71.83Encounter for nonprocreative genetic counseling | |
|---|---|---|
| Billing status | Billable | 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 procreative genetic counseling is a billable ICD-10-CM diagnosis code (Z31.5). | Encounter for nonprocreative genetic counseling is a billable ICD-10-CM diagnosis code (Z71.83). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources