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

ICD-10 Z31.89

Billable / Specific

Encounter for other procreative management

Z31
Block
0
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z31.89

ICD-10-CM code Z31.89 represents Encounter for other procreative management. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z31). The 2026 edition of ICD-10-CM Z31.89 became effective on October 1, 2025.

Medicare LCD Coverage for Z31.89

Local Coverage Determinations (LCDs) from CMS MACs that list Z31.89 as a covered diagnosis.

No Medicare LCDs reference Z31.89 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 Z31.89.

1 policies

1 Aetna

Infertility
Policy ID: CPB-0327

CPT Codes Commonly Billed with Z31.89

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

No procedure linkages on file for Z31.89

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 Z31.89 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z31.89 V261 10000
Z31.89 V2689 10000

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

Codes Adjacent To Z31.89

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

ICD-10 Z31.89, Billing FAQ

Is ICD-10 code Z31.89 billable? +

Yes, Z31.89 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z31.89 map to? +

Per CMS GEMs, Z31.89 maps to ICD-9 codes: V261, V2689. 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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