Z30.011 — Encounter for initial prescription of contraceptive pills
Is Z30.011 billable?
Yes — Z30.011 is billable for FY2027. Z30.011 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z30.011 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z30.011 at a glance
| Code | Z30.011 |
|---|---|
| Description | Encounter for initial prescription of contraceptive pills |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z30.011?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z30.011 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z30.011 group to?
Z30.011 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z30.011 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z30.011. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Prescription of contraceptives › pills (initial)
- Contraception, contraceptive › initial prescription › pills
Excludes1 — never code together — inherited from Z30.01
The conditions below can never be reported together with Z30.011 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- encounter for surveillance of contraceptives (Z30.4-)
How long has Z30.011 existed?
Z30.011 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to Z30.011?
What other codes are in the Z30.01 family? (8)
- Z30.012Encounter for prescription of emergency contraception
- Z30.013Encounter for initial prescription of injectable contraceptive
- Z30.014Encounter for initial prescription of intrauterine contraceptive device
- Z30.015Encounter for initial prescription of vaginal ring hormonal contraceptive
- Z30.016Encounter for initial prescription of transdermal patch hormonal contraceptive device
- Z30.017Encounter for initial prescription of implantable subdermal contraceptive
- Z30.018Encounter for initial prescription of other contraceptives
- Z30.019Encounter for initial prescription of contraceptives, unspecified