October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Z30-Z39 — Persons encountering health services in circumstances related to reproduction

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in range

160

No clinical group

160

A period cannot be grouped from these.

Barred as primary

57

CMS rejects these in the primary position.

Where these codes group

None of the 160 codes in Z30-Z39 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.

Code families in Z30-Z39

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in Z30-Z39

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
Z30011Encounter for initial prescription of contraceptive pillsNoneCannot lead a claim
Z30012Encounter for prescription of emergency contraceptionNoneCannot lead a claim
Z30013Encounter for initial prescription of injectable contracepNoneCannot lead a claim
Z30014Encounter for initial prescription of uterin contracep devNoneCannot lead a claim
Z30015Encounter for initial prescription of vagnl ringNoneCannot lead a claim
Z30016Enctr for init prescription of patch hormonal contracep devNoneCannot lead a claim
Z30017Enctr for init prescription of implntbl subdermal contracepNoneCannot lead a claim
Z30018Encounter for initial prescription of other contraceptivesNoneCannot lead a claim
Z30019Encounter for initial prescription of contraceptives, unspNoneCannot lead a claim
Z3002Cnsl and instruction in natrl family planning to avoid pregNoneCannot lead a claim
Z3009Encounter for oth general cnsl and advice on contraceptionNoneCannot lead a claim
Z302Encounter for sterilizationNoneCannot lead a claim
Z3040Encounter for surveillance of contraceptives, unspecifiedNoneCannot lead a claim
Z3041Encounter for surveillance of contraceptive pillsNoneCannot lead a claim
Z3042Encounter for surveillance of injectable contraceptiveNoneCannot lead a claim
Z30430Encounter for insertion of intrauterine contraceptive deviceNoneCannot lead a claim
Z30431Encounter for routine checking of intrauterine contracep devNoneCannot lead a claim
Z30432Encounter for removal of intrauterine contraceptive deviceNoneCannot lead a claim
Z30433Encntr for removal and reinsertion of uterin contracep devNoneCannot lead a claim
Z3044Encounter for surveillance of vagnl ringNoneCannot lead a claim
Z3045Enctr srvlnc transdermal patch hormonal contraceptive deviceNoneCannot lead a claim
Z3046Enctr srvlnc implantable subdermal contraceptiveNoneCannot lead a claim
Z3049Encounter for surveillance of other contraceptivesNoneCannot lead a claim
Z308Encounter for other contraceptive managementNoneCannot lead a claim
Z309Encounter for contraceptive management, unspecifiedNoneCannot lead a claim
Z310Encounter for reversal of previous sterilizationNoneCannot lead a claim
Z3141Encounter for fertility testingNoneCannot lead a claim
Z3142Aftercare following sterilization reversalNoneCannot lead a claim
Z31430Encntr fem for test for genetc dis carrier stat for pro mgmtNoneCannot lead a claim
Z31438Encounter for oth genetic testing of female for pro mgmtNoneCannot lead a claim
Z31440Encntr male test for genetic dis carrier status for pro mgmtNoneCannot lead a claim
Z31441Encntr for testing of male prtnr of pt w recur preg lossNoneCannot lead a claim
Z31448Encounter for oth genetic testing of male for pro mgmtNoneCannot lead a claim
Z3149Encounter for other procreative investigation and testingNoneCannot lead a claim
Z315Encounter for procreative genetic counselingNoneCannot lead a claim
Z3161Procreat counseling and advice using natural family planningNoneCannot lead a claim
Z3162Encounter for fertility preservation counselingNoneCannot lead a claim
Z3169Encounter for oth general cnsl and advice on procreationNoneCannot lead a claim
Z317Enctr for pro mgmt and counseling for gestational carrierNoneCannot lead a claim
Z3181Encounter for male factor infertility in female patientNoneCannot lead a claim
Z3182Encounter for Rh incompatibility statusNoneCannot lead a claim
Z3183Encounter for assisted reprodctv fertility procedure cycleNoneCannot lead a claim
Z3184Encounter for fertility preservation procedureNoneCannot lead a claim
Z3189Encounter for other procreative managementNoneCannot lead a claim
Z319Encounter for procreative management, unspecifiedNoneCannot lead a claim
Z3200Encounter for pregnancy test, result unknownNoneCannot lead a claim
Z3201Encounter for pregnancy test, result positiveNoneCannot lead a claim
Z3202Encounter for pregnancy test, result negativeNoneCannot lead a claim
Z322Encounter for childbirth instructionNoneCannot lead a claim
Z323Encounter for childcare instructionNoneCannot lead a claim
Z331Pregnant state, incidentalNoneCannot lead a claim
Z332Encounter for elective termination of pregnancyNoneCannot lead a claim
Z333Pregnant state, gestational carrierNoneCannot lead a claim
Z3400Encntr for suprvsn of normal first pregnancy, unsp trimesterNoneCannot lead a claim
Z3401Encntr for suprvsn of normal first preg, first trimesterNoneCannot lead a claim
Z3402Encntr for suprvsn of normal first preg, second trimesterNoneCannot lead a claim
Z3403Encntr for suprvsn of normal first preg, third trimesterNoneCannot lead a claim
Z3480Encounter for suprvsn of normal pregnancy, unsp trimesterNoneCannot lead a claim
Z3481Encounter for suprvsn of normal pregnancy, first trimesterNoneCannot lead a claim
Z3482Encounter for suprvsn of normal pregnancy, second trimesterNoneCannot lead a claim
Z3483Encounter for suprvsn of normal pregnancy, third trimesterNoneCannot lead a claim
Z3490Encntr for suprvsn of normal pregnancy, unsp, unsp trimesterNoneCannot lead a claim
Z3491Encntr for suprvsn of normal preg, unsp, first trimesterNoneCannot lead a claim
Z3492Encntr for suprvsn of normal preg, unsp, second trimesterNoneCannot lead a claim
Z3493Encntr for suprvsn of normal preg, unsp, third trimesterNoneCannot lead a claim
Z360Encounter for antenatal screening for chromosomal anomaliesNoneCannot lead a claim
Z361Enctr for antenat screen for raised alphafetoprotein levelNoneCannot lead a claim
Z362Encounter for other antenatal screening follow-upNoneCannot lead a claim
Z363Encounter for antenatal screening for malformationsNoneCannot lead a claim
Z364Enctr for antenatal screening for fetal growth retardationNoneCannot lead a claim
Z365Encounter for antenatal screening for isoimmunizationNoneCannot lead a claim
Z3681Encounter for antenatal screening for hydrops fetalisNoneCannot lead a claim
Z3682Encounter for antenatal screening for nuchal translucencyNoneCannot lead a claim
Z3683Encounter for fetal screening for congenital cardiac abnltNoneCannot lead a claim
Z3684Encounter for antenatal screening for fetal lung maturityNoneCannot lead a claim
Z3685Encounter for antenatal screening for Streptococcus BNoneCannot lead a claim
Z3686Encounter for antenatal screening for cervical lengthNoneCannot lead a claim
Z3687Encounter for antenatal screening for uncertain datesNoneCannot lead a claim
Z3688Encounter for antenatal screening for fetal macrosomiaNoneCannot lead a claim
Z3689Encounter for other specified antenatal screeningNoneCannot lead a claim
Z368AEncounter for antenatal screening for other genetic defectsNoneCannot lead a claim
Z369Encounter for antenatal screening, unspecifiedNoneCannot lead a claim
Z370Single live birthNoneCannot lead a claim
Z371Single stillbirthNoneCannot lead a claim
Z372Twins, both livebornNoneCannot lead a claim
Z373Twins, one liveborn and one stillbornNoneCannot lead a claim
Z374Twins, both stillbornNoneCannot lead a claim
Z3750Multiple births, unspecified, all livebornNoneCannot lead a claim
Z3751Triplets, all livebornNoneCannot lead a claim
Z3752Quadruplets, all livebornNoneCannot lead a claim
Z3753Quintuplets, all livebornNoneCannot lead a claim
Z3754Sextuplets, all livebornNoneCannot lead a claim
Z3759Other multiple births, all livebornNoneCannot lead a claim
Z3760Multiple births, unspecified, some livebornNoneCannot lead a claim
Z3761Triplets, some livebornNoneCannot lead a claim
Z3762Quadruplets, some livebornNoneCannot lead a claim
Z3763Quintuplets, some livebornNoneCannot lead a claim
Z3764Sextuplets, some livebornNoneCannot lead a claim
Z3769Other multiple births, some livebornNoneCannot lead a claim
Z377Other multiple births, all stillbornNoneCannot lead a claim
Z379Outcome of delivery, unspecifiedNoneCannot lead a claim
Z3800Single liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3801Single liveborn infant, delivered by cesareanNoneCannot lead a claim
Z381Single liveborn infant, born outside hospitalNoneCannot lead a claim
Z382Single liveborn infant, unspecified as to place of birthNoneCannot lead a claim
Z3830Twin liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3831Twin liveborn infant, delivered by cesareanNoneCannot lead a claim
Z384Twin liveborn infant, born outside hospitalNoneCannot lead a claim
Z385Twin liveborn infant, unspecified as to place of birthNoneCannot lead a claim
Z3861Triplet liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3862Triplet liveborn infant, delivered by cesareanNoneCannot lead a claim
Z3863Quadruplet liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3864Quadruplet liveborn infant, delivered by cesareanNoneCannot lead a claim
Z3865Quintuplet liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3866Quintuplet liveborn infant, delivered by cesareanNoneCannot lead a claim
Z3868Other multiple liveborn infant, delivered vaginallyNoneCannot lead a claim
Z3869Other multiple liveborn infant, delivered by cesareanNoneCannot lead a claim
Z387Other multiple liveborn infant, born outside hospitalNoneCannot lead a claim
Z388Other multiple liveborn infant, unsp as to place of birthNoneCannot lead a claim
Z390Encntr for care and exam of mother immediately after delNoneCannot lead a claim
Z391Encounter for care and examination of lactating motherNoneCannot lead a claim
Z392Encounter for routine postpartum follow-upNoneCannot lead a claim
Z3A00Weeks of gestation of pregnancy not specifiedNoneCannot lead a claim
Z3A01Less than 8 weeks gestation of pregnancyNoneCannot lead a claim
Z3A088 weeks gestation of pregnancyNoneCannot lead a claim
Z3A099 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1010 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1111 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1212 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1313 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1414 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1515 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1616 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1717 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1818 weeks gestation of pregnancyNoneCannot lead a claim
Z3A1919 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2020 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2121 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2222 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2323 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2424 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2525 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2626 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2727 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2828 weeks gestation of pregnancyNoneCannot lead a claim
Z3A2929 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3030 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3131 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3232 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3333 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3434 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3535 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3636 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3737 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3838 weeks gestation of pregnancyNoneCannot lead a claim
Z3A3939 weeks gestation of pregnancyNoneCannot lead a claim
Z3A4040 weeks gestation of pregnancyNoneCannot lead a claim
Z3A4141 weeks gestation of pregnancyNoneCannot lead a claim
Z3A4242 weeks gestation of pregnancyNoneCannot lead a claim
Z3A49Greater than 42 weeks gestation of pregnancyNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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