0U578ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- Billable / Specific Code
- Medicare Coverage Alert
0U578ZZ is a billable ICD-10-PCS procedure code for Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 8 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Medicare may not cover this procedure when diagnosis Z30.2 is on the claim.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | U | Female Reproductive System |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | 7 | Fallopian Tubes, Bilateral |
| 5 | Approach | 8 | Via Natural or Artificial Opening Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
Medicare Code Edits
Medicare Code Editor checks that affect claim validity for 0U578ZZ.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0U578ZZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0U578ZZ
Is 0U578ZZ a billable code?
Yes. 0U578ZZ is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0U578ZZ mean?
0U578ZZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character U is the Body System (Female Reproductive System); the 3rd character 5 is the Operation (Destruction); the 4th character 7 is the BodyPart (Fallopian Tubes, Bilateral); the 5th character 8 is the Approach (Via Natural or Artificial Opening Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0U578ZZ group to?
On an inpatient stay, Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic maps to MS-DRGs 744, 745, 783, 784, 785, 796, 797, 798, with relative weights from 0.9571 to 2.4551. The MS-DRG sets the fixed Medicare payment for the stay.
Is 0U578ZZ covered by Medicare?
Not always. The Medicare Code Editor flags 0U578ZZ as non-covered when diagnosis Z30.2 is reported as the principal or secondary diagnosis, since the procedure is then considered elective. Coverage otherwise follows standard rules.
What is the ICD-9-PCS equivalent of 0U578ZZ?
Under the General Equivalence Mappings, Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic crosswalks to ICD-9-PCS 66.29 and 66.61. The mapping is approximate, so confirm it fits the documentation.
