Excludes1 pair
Z30.8 vs Z31.4-
Z30.8 and Z31.4 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on Z31.4
postvasectomy sperm count (Z30.8)
Z30.8
Encounter for other contraceptive management
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z30-Z39
Use when the record says
- Encounter for postvasectomy sperm count
- Encounter for routine examination for contraceptive maintenance
Indexed under
- Examination › contraceptive (drug) maintenance (routine)
- Sperm counts › postvasectomy
- Contraception, contraceptive › maintenance › examination
- Contraception, contraceptive › management › specified NEC
- Examination › gynecological › for contraceptive maintenance
Z31.4
Encounter for procreative investigation and testing
Not billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z30-Z39
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027