ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z30.8

Billable / Specific

Encounter for other contraceptive management

Z30
Block
2
Synonyms
0
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM Z30.8

ICD-10-CM code Z30.8 represents Encounter for other contraceptive management. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z30). The 2026 edition of ICD-10-CM Z30.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z30.8. Per CMS ICD-10-CM Tabular 2026.

  • Encounter for postvasectomy sperm count
  • Encounter for routine examination for contraceptive maintenance

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z30.8. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • sperm count following sterilization reversal (Z31.42)
  • sperm count for fertility testing (Z31.41)

Medicare LCD Coverage for Z30.8

Local Coverage Determinations (LCDs) from CMS MACs that list Z30.8 as a covered diagnosis.

No Medicare LCDs reference Z30.8 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z30.8.

2 policies

1 Cigna

Preventive Care Services - (A004)
Policy ID: AD_A004

1 Aetna

Progestins
Policy ID: CPB-0510

CPT Codes Commonly Billed with Z30.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z30.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Z30.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z30.8 V253 10000
Z30.8 V255 10000
Z30.8 V258 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z30.8

Other codes in section Z30-Z39 (Persons encountering health services in circumstances related to reproduction).

ICD-10 Z30.8, Billing FAQ

Is ICD-10 code Z30.8 billable? +

Yes, Z30.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Z30.8? +

ICD-10 Z30.8 includes: Encounter for postvasectomy sperm count; Encounter for routine examination for contraceptive maintenance.

What codes are Type 1 Excludes for Z30.8? +

Type 1 Excludes (never code together with Z30.8): sperm count following sterilization reversal (Z31.42); sperm count for fertility testing (Z31.41)

What ICD-9 codes does Z30.8 map to? +

Per CMS GEMs, Z30.8 maps to ICD-9 codes: V253, V255, V258. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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