Z31.7 — Encounter for procreative management and counseling for gestational carrier

Billable

Is Z31.7 billable?

Yes — Z31.7 is billable for FY2027. Z31.7 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z31.7 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z31.7 at a glance

Code	Z31.7
Description	Encounter for procreative management and counseling for gestational carrier
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

What Medicare edits apply to Z31.7?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z31.7 directly.

Cannot be a principal diagnosis — MCE edit 9

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 Z31.7 group to?

Z31.7 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 Z31.7 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z31.7. They show the wording a clinician may have documented, which often differs from the Tabular description.

Counseling › gestational carrier (for)
Encounter › procreative management and counseling for gestational carrier (with health service) (for)
Admission › counseling › gestational carrier (for)

Excludes1 — never code together

The conditions below can never be reported together with Z31.7 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

pregnant state, gestational carrier (Z33.3)

Excludes2 — not included here — inherited from Z31

The conditions below are not part of Z31.7, but a patient may have both at the same time. When documentation supports it, Z31.7 and the excluded code may both be reported.

complications associated with artificial fertilization (N98.-)
female infertility (N97.-)
male infertility (N46.-)

How long has Z31.7 existed?

Z31.7 first appears in FY2018 (FY2017 is not available, so it may have appeared then).

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with Z31.7?

ICD-10-CM declares these codes mutually exclusive with Z31.7 — exactly one of each pair can be correct for a given encounter.

vs Z33.3Pregnant state, gestational carrier