Z38.681 ICD-10-CA code: Product of assisted reproductive technology (ART), other multiple birth, born in hospital, delivered vaginally
Z38.681 is the ICD-10-CA code for “Product of assisted reproductive technology (ART), other multiple birth, born in hospital, delivered vaginally” in CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026.
Official description
Z38.681Product of assisted reproductive technology (ART), other multiple birth, born in hospital, delivered vaginally
Short description: Oth mult birth born hosp ART del vag
ICD-10-CA · Canada · Also written Z38681
Index terms
Entries in CIHI’s alphabetical index that lead to Z38.681. Searching the index by the condition the note names is how coders reach this code.
- Infant(s), multiple (other), liveborn, born in hospital (by), vaginal delivery, with pregnancy resulting from assisted reproductive technology (ART)
- Newborn (infant) (liveborn), multiple, other, born in hospital (by), vaginal delivery, with pregnancy resulting from assisted reproductive technology (ART)
Notes for Z38.681
As CIHI prints them, with any note Z38.681 takes from the headings above it.
Note
- Assisted reproductive technology includes ovulation induction, intracytoplasmic sperm injection (ICSI), embryo transfer, and in vitro fertilization (IVF).From Z38.6 Other multiple, born in hospital
- This chapter should not be used for international comparison or for primary mortality coding.Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.From Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
Where Z38.681 sits
- 1ChapterChapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- 2Block Z30-Z39Persons encountering health services in circumstances related to reproduction
- 3Category Z38Liveborn infants according to place of birth
- 4Subcategory Z38.6Other multiple, born in hospital
- 5Subcategory Z38.68Other multiple birth, born in hospital, delivered vaginally
- 6Valid code Z38.681Product of assisted reproductive technology (ART), other multiple birth, born in hospital, delivered vaginally
Source and release
- Data release
- ICD-10-CA · FY 2026–2027
- Effective date
- Apr 1, 2026
- Publisher
- CIHI
This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does ICD-10-CA code Z38.681 mean?
Z38.681 is the ICD-10-CA code for “Product of assisted reproductive technology (ART), other multiple birth, born in hospital, delivered vaginally” in CIHI’s ICD-10-CA FY 2026–2027 release.
Where is Z38.681 in ICD-10-CA?
Z38.681 sits under Z38.68 Other multiple birth, born in hospital, delivered vaginally, within Z38.6 Other multiple, born in hospital, within Z38 Liveborn infants according to place of birth, within Z30-Z39 Persons encountering health services in circumstances related to reproduction, within Chapter 21: Factors influencing health status and contact with health services (Z00-Z99).
What coding notes apply to Z38.681?
ICD-10-CA lists Note notes for Z38.681, including those from the headings it sits under. They are listed on this page with where each one comes from.
Which ICD-10-CA release does this page use?
It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.