Z31.61 Procreative counseling and advice using natural family planning

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z31 Encounter for procreative management

Excludes2 (not included here)

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

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V26.41 Procreative counseling and advice using natural family planning

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z31.61

Back-references to Z31.6

• Type 1 Excludes: Z71.83 Encounter for nonprocreative genetic counseling ("counseling for procreative management (Z31.6)")

Back-references to Z31

• Type 2 Excludes: Z70 Counseling related to sexual attitude, behavior and orientation ("contraceptive or procreative counseling (Z30-Z31)")
• Type 2 Excludes: Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified ("contraceptive or procreation counseling (Z30-Z31)")

Diagnosis Index entries for Z31.61

• Counseling (for) › natural family planning › procreative
• Counseling (for) › procreative NEC › using natural family planning
• Encounter (with health service) (for) › instruction (in) › natural family planning › procreative

Nearby codes

• Z31.441 Encounter for testing of male partner of patient with recurrent pregnancy loss
• Z31.448 Encounter for other genetic testing of male for procreative management
• Z31.49 Encounter for other procreative investigation and testing
• Z31.5 Encounter for procreative genetic counseling
• Z31.6 Encounter for general counseling and advice on procreation
• Z31.61 Procreative counseling and advice using natural family planning (this code)
• Z31.62 Encounter for fertility preservation counseling
• Z31.69 Encounter for other general counseling and advice on procreation
• Z31.7 Encounter for procreative management and counseling for gestational carrier
• Z31.8 Encounter for other procreative management
• Z31.81 Encounter for male factor infertility in female patient