Z31.448 ICD-10-CM Code: Encounter for other genetic testing of male for procreative management
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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)
Z31.448
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceEncounter for other genetic testing of male for procreative management
A visit where a man undergoes genetic testing to assess his fertility or reproductive health before having children.
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
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Z31.448 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z31.448 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z31.448 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 Z31.448 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z31.448 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z31.448 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 Z31.448 an HCC code?
No. Z31.448 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
Z31.448 is the ICD-10-CM diagnosis code for encounter for other genetic testing of male for procreative management. A visit where a man undergoes genetic testing to assess his fertility or reproductive health before having children. Z31.448 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).
Z31.448 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.
Use this code when genetic testing is performed specifically for procreative management purposes in male patients.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z31.448 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when genetic testing is performed specifically for procreative management purposes in male patients
- •Ensure documentation specifies the type of genetic testing performed and that it relates to reproductive planning