ICDcodes.org
FY2027

Z31.83Encounter for assisted reproductive fertility procedure cycle

Billable

Is Z31.83 billable?

Yes — Z31.83 is billable for FY2027. Z31.83 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z31.83 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z31.83 at a glance

CodeZ31.83
DescriptionEncounter for assisted reproductive fertility procedure cycle
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z31.83?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z31.83 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 Z31.83 group to?

Z31.83 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 Z31.83 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z31.83. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Harvesting ovum for in vitro fertilization
  • Encounterassisted reproductive fertility procedure cycle (with health service) (for)
  • Encounterin vitro fertilization cycle (with health service) (for)

Excludes1 — never code together

The conditions below can never be reported together with Z31.83 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • pre-cycle diagnosis and testing - code to reason for encounter

Use additional code

Report an additional code alongside Z31.83 to fully describe the condition. Z31.83 is sequenced first.

  • code to identify the type of infertility

Inclusion terms

Alternative wording in documentation that is classified to Z31.83.

  • Patient undergoing in vitro fertilization cycle

Excludes2 — not included here — inherited from Z31

The conditions below are not part of Z31.83, but a patient may have both at the same time. When documentation supports it, Z31.83 and the excluded code may both be reported.

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

How long has Z31.83 existed?

Z31.83 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 Z31.83?

What other codes are in the Z31.8 family? (4)