Z30.011Encounter for initial prescription of contraceptive pills

Z30.011 is the ICD-10-CM diagnosis code for encounter for initial prescription of contraceptive pills. It belongs to category Z30 (encounter for contraceptive management), block Z30-Z39 (persons encountering health services in circumstances related to reproduction) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z30.01 (encounter for initial prescription of contraceptives), Z30.011 is specifically for encounter for initial prescription of contraceptive pills. Related codes cover prescription of emergency contraception (Z30.012), initial prescription of injectable contraceptive (Z30.013), initial prescription of intrauterine contraceptive device (Z30.014), initial prescription of vaginal ring hormonal contraceptive (Z30.015), initial prescription of transdermal patch hormonal contraceptive device (Z30.016), initial prescription of implantable subdermal contraceptive (Z30.017), initial prescription of other contraceptives (Z30.018) and unspecified (Z30.019).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V25.01 (general counseling on prescription of oral contraceptives).