Z30 vs Z97.5
Z30 and Z97.5 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on Z97.5
checking, reinsertion or removal of intrauterine contraceptive device (Z30.43-)
Z30
Encounter for contraceptive management
Not billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z30-Z39
Z97.5
Presence of (intrauterine) contraceptive device
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Indexed under
- Contraception, contraceptive › device
- Intrauterine contraceptive device › in situ
- Presence › intrauterine contraceptive device (of)
- Contraception, contraceptive › device › in place
- Foreign body › genitourinary tract › uterus › IUD
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