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Z30.014 ICD-10-CM Code: Encounter for initial prescription of intrauterine contraceptive device

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes1

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z30.014 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on Z30.014 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Coder workflow for Z30.014

MedCoder structured workflow — derived from this code’s own official record

Before you code Z30.014

  1. Confirm the reason for the encounter this Z code records: the circumstance it records. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c, I.C.21.c.15).

    Guide: Z codes as principal or first-listed diagnosis →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Z30.014. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in Z30.014’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewZ30.430, Z30.432, Z30.4

Consider Z30.014. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The reason for the encounter
Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).

Official instructions as workflow

  • Excludes1 — check before selecting Z30.014(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Z30.014: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareZ30.430, Z30.432, Z30.4

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition Z30.014 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewZ30.430, Z30.432, Z30.4

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Z30.014 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Z30.014 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Z30.430— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of encounter for insertion of intrauterine contraceptive device moves the case to Z30.430; the two are not reported together unless documented as unrelated.

    Full comparison: Z30.014 vs Z30.430 →

  • Z30.432— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of encounter for insertion of intrauterine contraceptive device moves the case to Z30.432; the two are not reported together unless documented as unrelated.

    Full comparison: Z30.014 vs Z30.432 →

  • Z30.4— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of encounter for insertion of intrauterine contraceptive device moves the case to Z30.4; the two are not reported together unless documented as unrelated.

    Full comparison: Z30.014 vs Z30.4 →

  • Z30.019— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Encounter for initial prescription of contraceptives, unspecified” takes Z30.019; specificity in the record moves it back here.

    Full comparison: Z30.014 vs Z30.019 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Encounter for initial prescription of intrauterine contraceptive device is a billable ICD-10-CM diagnosis code (Z30.014).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (4)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

The counseling Z codes/categories: Z30.0- Encounter for general counseling and advice on contraception Z31.5 Encounter for procreative genetic counseling Z31.6- Encounter for general counseling and advice on procreation Z32.2 Encounter for childbirth instruction Z32.3 Encounter for childcare instruction Z69 Encounter for mental health services for victim and perpetrator of abuse Z70 Counseling related to sexual attitude, behavior and orientation Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified Note: Code Z71.84, Encounter for health counseling related to travel, is to be used for health risk and safety counseling for future travel purposes.

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Z codes/categories for obstetrical and reproductive services: Z30 Encounter for contraceptive management Z31 Encounter for procreative management Z32.2 Encounter for childbirth instruction Z32.3 Encounter for childcare instruction Z33 Pregnant state Z34 Encounter for supervision of normal pregnancy Z36 Encounter for antenatal screening of mother Z3A Weeks of gestation Z37 Outcome of delivery Z39 Encounter for maternal postpartum care and examination Z76.81 Expectant mother prebirth pediatrician visit

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name Z30.014 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: Z92.0 — Personal history of contraception (via Z30.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 15 Excludes2 notes: Z00 — Encounter for general examination without complaint, suspected or reported diagnosis (via Z30.-), Z00-Z13 — Persons encountering health services for examinations (Z00-Z13) (via Z30.-), Z01 — Encounter for other special examination without complaint, suspected or reported diagnosis (via Z30.-), Z02 — Encounter for administrative examination (via Z30.-), Z03 — Encounter for medical observation for suspected diseases and conditions ruled out (via Z30.-), Z04 — Encounter for examination and observation for other reasons (via Z30.-), Z05 — Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (via Z30.-), Z08 — Encounter for follow-up examination after completed treatment for malignant neoplasm (via Z30.-), Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (via Z30.-), Z11 — Encounter for screening for infectious and parasitic diseases (via Z30.-), Z12 — Encounter for screening for malignant neoplasms (via Z30.-), Z13 — Encounter for screening for other diseases and disorders (via Z30.-), Z70 — Counseling related to sexual attitude, behavior and orientation (via Z30.-), Z71 — Persons encountering health services for other counseling and medical advice, not elsewhere classified (via Z30.-), Z71.8 — Other specified counseling (via Z30.0.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 951 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):FAC013 — Contraceptive and procreative management (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Contraceptive and procreative management).

Z30.011 — Encounter for initial prescription of contraceptive pills, Z30.012 — Encounter for prescription of emergency contraception, Z30.013 — Encounter for initial prescription of injectable contraceptive, Z30.015 — Encounter for initial prescription of vaginal ring hormonal contraceptive, Z30.016 — Encounter for initial prescription of transdermal patch hormonal contraceptive device, Z30.017 — Encounter for initial prescription of implantable subdermal contraceptive, Z30.018 — Encounter for initial prescription of other contraceptives, Z30.019 — Encounter for initial prescription of contraceptives, unspecified, Z30.02 — Counseling and instruction in natural family planning to avoid pregnancy, Z30.09 — Encounter for other general counseling and advice on contraception, Z30.2 — Encounter for sterilization, Z30.40 — Encounter for surveillance of contraceptives, unspecified, Z30.41 — Encounter for surveillance of contraceptive pills, Z30.42 — Encounter for surveillance of injectable contraceptive, Z30.430 — Encounter for insertion of intrauterine contraceptive device, Z30.431 — Encounter for routine checking of intrauterine contraceptive device, Z30.432 — Encounter for removal of intrauterine contraceptive device, Z30.433 — Encounter for removal and reinsertion of intrauterine contraceptive device, Z30.44 — Encounter for surveillance of vaginal ring hormonal contraceptive device, Z30.45 — Encounter for surveillance of transdermal patch hormonal contraceptive device, +27 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Admission”; these codes share that main term but sit in a different category of the Tabular List.

Z01.10 — Encounter for examination of ears and hearing without abnormal findings (examination at health care facility, ear), Z01.118 — Encounter for examination of ears and hearing with other abnormal findings (examination at health care facility, ear, with abnormal findings NEC), Z01.20 — Encounter for dental examination and cleaning without abnormal findings (examination at health care facility, dental), Z01.21 — Encounter for dental examination and cleaning with abnormal findings (examination at health care facility, dental, with abnormal findings), Z01.82 — Encounter for allergy testing (sensitivity test, allergy NEC), Z04.6 — Encounter for general psychiatric examination, requested by authority (psychiatric examination, requested by authority), Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (follow-up examination), Z11.1 — Encounter for screening for respiratory tuberculosis (sensitivity test, Mantoux), Z12.4 — Encounter for screening for malignant neoplasm of cervix (Papanicolaou smear, cervix), Z23 — Encounter for immunization (prophylactic, vaccination), Z31.0 — Encounter for reversal of previous sterilization (poststerilization), Z31.42 — Aftercare following sterilization reversal (poststerilization, aftercare), Z31.69 — Encounter for other general counseling and advice on procreation (counseling, procreative management NEC), Z31.7 — Encounter for procreative management and counseling for gestational carrier (counseling, gestational carrier), Z31.9 — Encounter for procreative management, unspecified (procreative management), Z39.0 — Encounter for care and examination of mother immediately after delivery (aftercare, postpartum, immediately after delivery), Z39.2 — Encounter for routine postpartum follow-up (aftercare, postpartum, routine follow-up), Z40.00 — Encounter for prophylactic removal of unspecified organ (prophylactic, organ removal), Z40.01 — Encounter for prophylactic removal of breast (prophylactic, organ removal, breast), Z40.02 — Encounter for prophylactic removal of ovary(s) (prophylactic, organ removal, ovary), +79 more

Contextual Map

Every relationship of Z30.014 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Z30.014 with these 11 related codes in Claim Check

Hierarchy

Excludes1

Referenced by Excludes1 notes

Referenced by Excludes2 notes (15)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,258 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Admission (for), intrauterine device management, initial prescription[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Contraception, contraceptive, device (intrauterine) (in situ), initial prescription[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Contraception, contraceptive, initial prescription, intrauterine device[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Prescription of contraceptives (initial), intrauterine contraceptive device[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (29)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Z30.014 — Encounter for initial prescription of intrauterine contraceptive device." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/z30.014-encounter-for-initial-prescription-of-intrauterine-contraceptive-device

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Encounter for initial prescription of intrauterine contraceptive device

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z30.014 in its code family, with their registry titles.

View all codes in the Z30 family