Medicare Code Edits · FY 2026 MCE v43.0
Non-covered Procedure Codes Sterilization ICD-10-PCS
The non-covered procedure codes sterilization edit is a coverage check in Medicare’s claim-validation software, the Medicare Code Editor (MCE). It covers the 87 ICD-10-PCS procedure codes listed below. These procedures are denied as non-covered only when diagnosis Z30.2, encounter for sterilization, is the principal or a secondary diagnosis. Performed for a medically necessary reason with a different diagnosis, they are paid normally.
✓ Built from the official CMS MCE v43.0 datasetEffective Oct 1, 2025 – Sep 30, 2026
87
ICD-10-PCS Codes
2
Body Systems
Z30.2
Trigger Diagnosis
Diagnosis Condition
These procedures are non-covered only when the following diagnosis is reported as the principal or a secondary diagnosis.
ICD-10-PCS
Procedure Codes in This Edit 87 codes · 2 categories
87 of 87 shown
Female Reproductive System18 codes
- 0U570ZZ Destruction of Bilateral Fallopian Tubes, Open Approach
- 0U573ZZ Destruction of Bilateral Fallopian Tubes, Percutaneous Approach
- 0U574ZZ Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0U577ZZ Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0U578ZZ Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- 0UL70CZ Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Open Approach
- 0UL70DZ Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Open Approach
- 0UL70ZZ Occlusion of Bilateral Fallopian Tubes, Open Approach
- 0UL73CZ Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Approach
- 0UL73DZ Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Approach
- 0UL73ZZ Occlusion of Bilateral Fallopian Tubes, Percutaneous Approach
- 0UL74CZ Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Endoscopic Approach
- 0UL74DZ Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Endoscopic Approach
- 0UL74ZZ Occlusion of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0UL77DZ Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening
- 0UL77ZZ Occlusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0UL78DZ Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0UL78ZZ Occlusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
Male Reproductive System69 codes
- 0V5N0ZZ Destruction of Right Vas Deferens, Open Approach
- 0V5N3ZZ Destruction of Right Vas Deferens, Percutaneous Approach
- 0V5N4ZZ Destruction of Right Vas Deferens, Percutaneous Endoscopic Approach
- 0V5P0ZZ Destruction of Left Vas Deferens, Open Approach
- 0V5P3ZZ Destruction of Left Vas Deferens, Percutaneous Approach
- 0V5P4ZZ Destruction of Left Vas Deferens, Percutaneous Endoscopic Approach
- 0V5Q0ZZ Destruction of Bilateral Vas Deferens, Open Approach
- 0V5Q3ZZ Destruction of Bilateral Vas Deferens, Percutaneous Approach
- 0V5Q4ZZ Destruction of Bilateral Vas Deferens, Percutaneous Endoscopic Approach
- 0VBN0ZZ Excision of Right Vas Deferens, Open Approach
- 0VBN3ZZ Excision of Right Vas Deferens, Percutaneous Approach
- 0VBN4ZZ Excision of Right Vas Deferens, Percutaneous Endoscopic Approach
- 0VBP0ZZ Excision of Left Vas Deferens, Open Approach
- 0VBP3ZZ Excision of Left Vas Deferens, Percutaneous Approach
- 0VBP4ZZ Excision of Left Vas Deferens, Percutaneous Endoscopic Approach
- 0VBQ0ZZ Excision of Bilateral Vas Deferens, Open Approach
- 0VBQ3ZZ Excision of Bilateral Vas Deferens, Percutaneous Approach
- 0VBQ4ZZ Excision of Bilateral Vas Deferens, Percutaneous Endoscopic Approach
- 0VLF0CZ Occlusion of Right Spermatic Cord with Extraluminal Device, Open Approach
- 0VLF0DZ Occlusion of Right Spermatic Cord with Intraluminal Device, Open Approach
- 0VLF0ZZ Occlusion of Right Spermatic Cord, Open Approach
- 0VLF3CZ Occlusion of Right Spermatic Cord with Extraluminal Device, Percutaneous Approach
- 0VLF3DZ Occlusion of Right Spermatic Cord with Intraluminal Device, Percutaneous Approach
- 0VLF3ZZ Occlusion of Right Spermatic Cord, Percutaneous Approach
- 0VLF4CZ Occlusion of Right Spermatic Cord with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLF4DZ Occlusion of Right Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach
- 0VLF4ZZ Occlusion of Right Spermatic Cord, Percutaneous Endoscopic Approach
- 0VLG0CZ Occlusion of Left Spermatic Cord with Extraluminal Device, Open Approach
- 0VLG0DZ Occlusion of Left Spermatic Cord with Intraluminal Device, Open Approach
- 0VLG0ZZ Occlusion of Left Spermatic Cord, Open Approach
- 0VLG3CZ Occlusion of Left Spermatic Cord with Extraluminal Device, Percutaneous Approach
- 0VLG3DZ Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Approach
- 0VLG3ZZ Occlusion of Left Spermatic Cord, Percutaneous Approach
- 0VLG4CZ Occlusion of Left Spermatic Cord with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLG4DZ Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach
- 0VLG4ZZ Occlusion of Left Spermatic Cord, Percutaneous Endoscopic Approach
- 0VLH0CZ Occlusion of Bilateral Spermatic Cords with Extraluminal Device, Open Approach
- 0VLH0DZ Occlusion of Bilateral Spermatic Cords with Intraluminal Device, Open Approach
- 0VLH0ZZ Occlusion of Bilateral Spermatic Cords, Open Approach
- 0VLH3CZ Occlusion of Bilateral Spermatic Cords with Extraluminal Device, Percutaneous Approach
- 0VLH3DZ Occlusion of Bilateral Spermatic Cords with Intraluminal Device, Percutaneous Approach
- 0VLH3ZZ Occlusion of Bilateral Spermatic Cords, Percutaneous Approach
- 0VLH4CZ Occlusion of Bilateral Spermatic Cords with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLH4DZ Occlusion of Bilateral Spermatic Cords with Intraluminal Device, Percutaneous Endoscopic Approach
- 0VLH4ZZ Occlusion of Bilateral Spermatic Cords, Percutaneous Endoscopic Approach
- 0VLN0CZ Occlusion of Right Vas Deferens with Extraluminal Device, Open Approach
- 0VLN0ZZ Occlusion of Right Vas Deferens, Open Approach
- 0VLN3CZ Occlusion of Right Vas Deferens with Extraluminal Device, Percutaneous Approach
- 0VLN3ZZ Occlusion of Right Vas Deferens, Percutaneous Approach
- 0VLN4CZ Occlusion of Right Vas Deferens with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLN4ZZ Occlusion of Right Vas Deferens, Percutaneous Endoscopic Approach
- 0VLP0CZ Occlusion of Left Vas Deferens with Extraluminal Device, Open Approach
- 0VLP0ZZ Occlusion of Left Vas Deferens, Open Approach
- 0VLP3CZ Occlusion of Left Vas Deferens with Extraluminal Device, Percutaneous Approach
- 0VLP3ZZ Occlusion of Left Vas Deferens, Percutaneous Approach
- 0VLP4CZ Occlusion of Left Vas Deferens with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLP4ZZ Occlusion of Left Vas Deferens, Percutaneous Endoscopic Approach
- 0VLQ0CZ Occlusion of Bilateral Vas Deferens with Extraluminal Device, Open Approach
- 0VLQ0ZZ Occlusion of Bilateral Vas Deferens, Open Approach
- 0VLQ3CZ Occlusion of Bilateral Vas Deferens with Extraluminal Device, Percutaneous Approach
- 0VLQ3ZZ Occlusion of Bilateral Vas Deferens, Percutaneous Approach
- 0VLQ4CZ Occlusion of Bilateral Vas Deferens with Extraluminal Device, Percutaneous Endoscopic Approach
- 0VLQ4ZZ Occlusion of Bilateral Vas Deferens, Percutaneous Endoscopic Approach
- 0VTN0ZZ Resection of Right Vas Deferens, Open Approach
- 0VTN4ZZ Resection of Right Vas Deferens, Percutaneous Endoscopic Approach
- 0VTP0ZZ Resection of Left Vas Deferens, Open Approach
- 0VTP4ZZ Resection of Left Vas Deferens, Percutaneous Endoscopic Approach
- 0VTQ0ZZ Resection of Bilateral Vas Deferens, Open Approach
- 0VTQ4ZZ Resection of Bilateral Vas Deferens, Percutaneous Endoscopic Approach
Questions About This Code Edit
What is the non-covered procedure codes sterilization Medicare code edit?
The procedure codes shown below are identified as non-covered procedures only when ICD-10-CM diagnosis code Z30.2 (Encounter for sterilization) is listed as the principal diagnosis or secondary diagnosis. The Medicare Code Editor flags any inpatient claim that triggers the check.
How many codes are on the non-covered procedure codes sterilization list?
The FY 2026 list contains 87 codes, imported from the CMS Definitions of Medicare Code Edits v43.0.
When does the non-covered procedure codes sterilization edit apply?
These procedures are non-covered only when the following diagnosis is reported as the principal or a secondary diagnosis. The condition list contains 1 ICD-10-CM diagnosis code.
Does this edit make the codes invalid?
No. Every code on this list is a valid code. The edit is about Medicare payment rules, not about whether the code exists or can be documented.
Other ICD-10-PCS Medicare Code Edits
Non-covered ProceduresNon-covered: TransplantsNon-covered: TransfuseNon-covered: Over Age 60Limited CoverageWrong Procedure PerformedProcedure Inconsistent with LOSQuestionable Obstetric Admission
Source: CMS Definitions of Medicare Code Edits v43.0, effective October 1, 2025 through September 30, 2026. Code lists are imported directly from the official manual. See also the ICD-10-CM diagnosis edits and the MS-DRG list.
