Z30.44 ICD-10-CM Code: Encounter for surveillance of vaginal ring hormonal contraceptive device
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
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.
Coder workflow for Z30.44
MedCoder structured workflow — derived from this code’s own official record
Before you code Z30.44
- 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).
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).
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.
Code Overview
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 (2)
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)
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 Z30.44 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 3 Excludes1 notes: Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (via Z30.4.-), Z30.01 — Encounter for initial prescription of contraceptives (via Z30.4.-), 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 16 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.-), Z01.4 — Encounter for gynecological examination (via Z30.4.-), 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.-), Z76.0 — Encounter for issue of repeat prescription (via Z30.4.-).
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).
Z30.02 — 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, Z30.45 — Encounter for surveillance of transdermal patch hormonal contraceptive device, Z30.46 — Encounter for surveillance of implantable subdermal contraceptive, Z30.49 — Encounter for surveillance of other contraceptives, Z30.8 — Encounter for other contraceptive management, Z30.9 — Encounter for contraceptive management, unspecified, Z31.0 — Encounter for reversal of previous sterilization, Z31.41 — Encounter for fertility testing, Z31.42 — Aftercare following sterilization reversal, Z31.430 — Encounter of female for testing for genetic disease carrier status for procreative management, Z31.438 — Encounter for other genetic testing of female for procreative management, +27 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Contraception, contraceptive”; these codes share that main term but sit in a different category of the Tabular List.
T83.83 — Hemorrhage due to genitourinary prosthetic devices, implants and grafts (device, causing menorrhagia), Z97.5 — Presence of (intrauterine) contraceptive device (device)
Contextual Map
Every relationship of Z30.44 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 Z30.44 with these 11 related codes in Claim Check
Hierarchy
- Z00-Z99 — Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) (Z00-Z99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30-Z39 — Persons encountering health services in circumstances related to reproduction[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm[Excludes1](via Z30.4.-): “surveillance of contraception (Z30.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z30.01 — Encounter for initial prescription of contraceptives[Excludes1](via Z30.4.-): “encounter for surveillance of contraceptives (Z30.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z92.0 — Personal history of contraception[Excludes1](via Z30.-): “counseling or management of current contraceptive practices (Z30.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (16)
- Z00 — Encounter for general examination without complaint, suspected or reported diagnosis[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z00-Z13 — Persons encountering health services for examinations (Z00-Z13)[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z01 — Encounter for other special examination without complaint, suspected or reported diagnosis[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z01.4 — Encounter for gynecological examination[Excludes2](via Z30.4.-): “routine examination for contraceptive maintenance (Z30.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z02 — Encounter for administrative examination[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z03 — Encounter for medical observation for suspected diseases and conditions ruled out[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z04 — Encounter for examination and observation for other reasons[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z05 — Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out[Excludes2](via Z30.-): “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 8 more
Clinical classification (CCSR)
- FAC013 — Contraceptive and procreative management[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS[MS-DRG]: “OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
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
- Contraception, contraceptive, maintenance, vaginal ring hormonal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Prescription of contraceptives (initial), repeat, vaginal ring hormonal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (29)
- Z30 — Encounter for contraceptive management[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.0 — Encounter for general counseling and advice on contraception[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.01 — Encounter for initial prescription of contraceptives[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.011 — Encounter for initial prescription of contraceptive pills[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.012 — Encounter for prescription of emergency contraception[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.013 — Encounter for initial prescription of injectable contraceptive[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.014 — Encounter for initial prescription of intrauterine contraceptive device[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Z30.015 — Encounter for initial prescription of vaginal ring hormonal contraceptive[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 21 more
Change history
- FY2017 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2017
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. "Z30.44 — Encounter for surveillance of vaginal ring hormonal contraceptive device." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/z30.44-encounter-for-surveillance-of-vaginal-ring-hormonal-contraceptive-device
Change history
- FY2017 — October 1, 2016Added to the code setEncounter for surveillance of vaginal ring hormonal contraceptive deviceFY2017 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z30.44 in its code family, with their registry titles.
- Z30.43 — Encounter for surveillance of intrauterine contraceptive device
- 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
- Z30.45 — Encounter for surveillance of transdermal patch hormonal contraceptive device
- Z30.46 — Encounter for surveillance of implantable subdermal contraceptive
- Z30.49 — Encounter for surveillance of other contraceptives
- Z30.8 — Encounter for other contraceptive management
- Z30.9 — Encounter for contraceptive management, unspecified