Z31.441 ICD-10-CM Code: Encounter for testing of male partner of patient with recurrent pregnancy loss
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in circumstances related to reproduction (Z30-Z39)
Z31.441
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceEncounter for testing of male partner of patient with recurrent pregnancy loss
Genetic testing of a male partner whose female partner has experienced multiple miscarriages to identify potential genetic causes.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Z31.441 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z31.441 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z31.441 in this effective period.
Excludes 1
Official- nonprocreative genetic testing (Z13.7-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z31.441 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z31.441 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z31.441 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is Z31.441 an HCC code?
No. Z31.441 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z31.441 is the ICD-10-CM diagnosis code for encounter for testing of male partner of patient with recurrent pregnancy loss. Genetic testing of a male partner whose female partner has experienced multiple miscarriages to identify potential genetic causes. Z31.441 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in circumstances related to reproduction (z30-z39).
Z31.441 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is used when testing the male partner in the context of recurrent pregnancy loss in the female partner.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z31.441 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is used when testing the male partner in the context of recurrent pregnancy loss in the female partner
- •Document the history of pregnancy losses and the specific genetic tests performed on the male partner