2021 ICD-10-PCS 0UL64DZ - Occlusion of Left Fallopian Tube with Intraluminal Device, Percutaneous Endoscopic Approach

Valid for Submission

0UL64DZ is a billable procedure code used to specify the performance of occlusion of left fallopian tube with intraluminal device, percutaneous endoscopic approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0UL64DZ is in the medical and surgical section and is part of the female reproductive system body system, classified under the occlusion operation. The applicable bodypart is fallopian tube, left.

ICD-10-PCS Details

Position	Designation	Character	Label	Notes
1	Section	0	Medical and Surgical
2	Body System	U	Female Reproductive System
3	Operation	L	Occlusion	Involves: Completely closing an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice Involves: Completely closing an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice Includes: Fallopian tube ligation, ligation of inferior vena cava Fallopian tube ligation, ligation of inferior vena cava
4	BodyPart	6	Fallopian Tube, Left	Includes: Oviduct Salpinx Uterine tube Oviduct Salpinx Uterine tube
5	Approach	4	Percutaneous Endoscopic	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
6	Device	D	Intraluminal Device	Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System Acculink (RX) Carotid Stent System AFX(R) Endovascular AAA System AneuRx(R) AAA Advantage(R) Assurant (Cobalt) stent Carotid WALLSTENT(R) Monorail(R) Endoprosthesis CoAxia NeuroFlo catheter Colonic Z-Stent(R) Complete (SE) stent Cook Zenith AAA Endovascular Graft Driver stent (RX) (OTW) E-Luminexx(tm) (Biliary)(Vascular) Stent Embolization coil(s) Endologix AFX(R) Endovascular AAA System Endurant(R) Endovascular Stent Graft Endurant(R) II AAA stent graft system EXCLUDER(R) AAA Endoprosthesis Express(R) (LD) Premounted Stent System Express(R) Biliary SD Monorail(R) Premounted Stent System Express(R) SD Renal Monorail(R) Premounted Stent System FLAIR(R) Endovascular Stent Graft Formula(tm) Balloon-Expandable Renal Stent System GORE EXCLUDER(R) AAA Endoprosthesis GORE TAG(R) Thoracic Endoprosthesis Herculink (RX) Elite Renal Stent System LifeStent(R) (Flexstar)(XL) Vascular Stent System Medtronic Endurant(R) II AAA stent graft system Micro-Driver stent (RX) (OTW) MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System Omnilink Elite Vascular Balloon Expandable Stent System Protege(R) RX Carotid Stent System Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary) Talent(R) Converter Talent(R) Occluder Talent(R) Stent Graft (abdominal)(thoracic) Therapeutic occlusion coil(s) Ultraflex(tm) Precision Colonic Stent System Valiant Thoracic Stent Graft WALLSTENT(R) Endoprosthesis Xact Carotid Stent System Zenith AAA Endovascular Graft Zenith Flex(R) AAA Endovascular Graft Zenith TX2(R) TAA Endovascular Graft Zenith(R) Renu(tm) AAA Ancillary Graft Absolute Pro Vascular (OTW) Self-Expanding Stent System Acculink (RX) Carotid Stent System AFX(R) Endovascular AAA System AneuRx(R) AAA Advantage(R) Assurant (Cobalt) stent Carotid WALLSTENT(R) Monorail(R) Endoprosthesis CoAxia NeuroFlo catheter Colonic Z-Stent(R) Complete (SE) stent Cook Zenith AAA Endovascular Graft Driver stent (RX) (OTW) E-Luminexx(tm) (Biliary)(Vascular) Stent Embolization coil(s) Endologix AFX(R) Endovascular AAA System Endurant(R) Endovascular Stent Graft Endurant(R) II AAA stent graft system EXCLUDER(R) AAA Endoprosthesis Express(R) (LD) Premounted Stent System Express(R) Biliary SD Monorail(R) Premounted Stent System Express(R) SD Renal Monorail(R) Premounted Stent System FLAIR(R) Endovascular Stent Graft Formula(tm) Balloon-Expandable Renal Stent System GORE EXCLUDER(R) AAA Endoprosthesis GORE TAG(R) Thoracic Endoprosthesis Herculink (RX) Elite Renal Stent System LifeStent(R) (Flexstar)(XL) Vascular Stent System Medtronic Endurant(R) II AAA stent graft system Micro-Driver stent (RX) (OTW) MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System Omnilink Elite Vascular Balloon Expandable Stent System Protege(R) RX Carotid Stent System Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary) Talent(R) Converter Talent(R) Occluder Talent(R) Stent Graft (abdominal)(thoracic) Therapeutic occlusion coil(s) Ultraflex(tm) Precision Colonic Stent System Valiant Thoracic Stent Graft WALLSTENT(R) Endoprosthesis Xact Carotid Stent System Zenith AAA Endovascular Graft Zenith Flex(R) AAA Endovascular Graft Zenith TX2(R) TAA Endovascular Graft Zenith(R) Renu(tm) AAA Ancillary Graft
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

Procedures for females only - this code is intended for procedures for females only.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0UL64DZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

736 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC - Relative Weight: 4.2582
737 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC - Relative Weight: 2.0582
738 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC - Relative Weight: 1.4766
742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC - Relative Weight: 1.717
743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC - Relative Weight: 1.1323
783 - CESAREAN SECTION WITH STERILIZATION WITH MCC - Relative Weight: 1.8727
784 - CESAREAN SECTION WITH STERILIZATION WITH CC - Relative Weight: 1.0949
785 - CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC - Relative Weight: 0.9153
796 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC - Relative Weight: 1.0679
797 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC - Relative Weight: 0.9199
798 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC - Relative Weight: 0.8273

Convert 0UL64DZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 6692 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.

ICD-10-PCS:	0UL64DZ
Short Description:	Occlusion L Fallopian Tube w Intralum Dev, Perc Endo
Long Description:	Occlusion of Left Fallopian Tube with Intraluminal Device, Percutaneous Endoscopic Approach