Z64.0Problems related to unwanted pregnancy

Z64.0 is the ICD-10-CM diagnosis code for problems related to unwanted pregnancy. It belongs to category Z64 (problems related to certain psychosocial circumstances), block Z55-Z65 (persons with potential health hazards related to socioeconomic and psychosocial circumstances) 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 Z64 (problems related to certain psychosocial circumstances), Z64.0 is specifically for problems related to unwanted pregnancy. Related codes cover problems related to multiparity (Z64.1) and discord with counselors (Z64.4).

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 770 (Abortion with D&C, Aspiration Curettage or Hysterotomy, relative weight 1.0992) and DRG 779 (Abortion without D&C, relative weight 1.0203), in MDC 14 (Pregnancy, Childbirth and the Puerperium), 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 V61.6 (Illegitimacy or illegitimate pregnancy) and V61.7 (other unwanted pregnancy).