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

ICD-10 Z33.2

Billable / Specific

Encounter for elective termination of pregnancy

Z33
Block
0
Synonyms
0
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM Z33.2

ICD-10-CM code Z33.2 represents Encounter for elective termination of pregnancy. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z33). The 2026 edition of ICD-10-CM Z33.2 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z33.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • early fetal death with retention of dead fetus (O02.1)
  • late fetal death (O36.4)
  • spontaneous abortion (O03)

Medicare LCD Coverage for Z33.2

Local Coverage Determinations (LCDs) from CMS MACs that list Z33.2 as a covered diagnosis.

No Medicare LCDs reference Z33.2 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 Z33.2.

2 policies

2 Cigna

Abortion - (A006)
Policy ID: AD_A006
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

CPT Codes Commonly Billed with Z33.2

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

No procedure linkages on file for Z33.2

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 Z33.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z33.2 63590 10000

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

Codes Adjacent To Z33.2

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

ICD-10 Z33.2, Billing FAQ

Is ICD-10 code Z33.2 billable? +

Yes, Z33.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for Z33.2? +

Type 1 Excludes (never code together with Z33.2): early fetal death with retention of dead fetus (O02.1); late fetal death (O36.4); spontaneous abortion (O03)

What ICD-9 codes does Z33.2 map to? +

Per CMS GEMs, Z33.2 maps to ICD-9 codes: 63590. 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 June 2, 2026.

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