For Dates of Service Before October 1, 2016

Diagnosis Codes

The following table lists all allowable diagnosis codes related to ICD contraceptive management for Family Planning Only Services.

Allowable ICD Diagnosis Codes Related to Contraceptive Management
ICD
Diagnosis
Code
Descriptions
Z30.011Encounter for initial prescription of contraceptive pills
Z30.012Encounter for prescription of emergency contraception
Z30.013Encounter for initial prescription of injectable contraceptive
Z30.014Encounter for initial prescription of intrauterine contraceptive device
Z30.018Encounter for initial prescription of other contraceptives
Z30.019Encounter for initial prescription of contraceptives, unspecified
Z30.02Counseling and instruction in natural family planning to avoid pregnancy
Z30.09Encounter for other general counseling and advice on contraception
Z30.2Encounter for sterilization
Z30.40Encounter for surveillance of contraceptives, unspecified
Z30.41Encounter for surveillance of contraceptive pills
Z30.42Encounter for surveillance of injectable contraceptive
Z30.430Encounter for insertion of intrauterine contraceptive device
Z30.431Encounter for routine checking of intrauterine contraceptive device
Z30.432Encounter for removal of intrauterine contraceptive device
Z30.433Encounter for removal and reinsertion of intrauterine contraceptive device
Z30.49Encounter for surveillance of other contraceptives
Z30.8Encounter for other contraceptive management
Z30.9Encounter for contraceptive management, unspecified