Non-covered Procedure Codes Sterilization - ICD-10-PCS Code Edits

The following 87 ICD-10-PCS codes are intended for non-covered procedure codes sterilization. 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.


ICD-10-PCS CodeDescriptionSectionBody SystemOperation
0U570ZZDestruction of Bilateral Fallopian Tubes, Open ApproachMedical and SurgicalFemale Reproductive SystemDestruction
0U573ZZDestruction of Bilateral Fallopian Tubes, Percutaneous ApproachMedical and SurgicalFemale Reproductive SystemDestruction
0U574ZZDestruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic ApproachMedical and SurgicalFemale Reproductive SystemDestruction
0U577ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial OpeningMedical and SurgicalFemale Reproductive SystemDestruction
0U578ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening EndoscopicMedical and SurgicalFemale Reproductive SystemDestruction
0UL70CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Open ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL70DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Open ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL70ZZOcclusion of Bilateral Fallopian Tubes, Open ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL73CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL73DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL73ZZOcclusion of Bilateral Fallopian Tubes, Percutaneous ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL74CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL74DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL74ZZOcclusion of Bilateral Fallopian Tubes, Percutaneous Endoscopic ApproachMedical and SurgicalFemale Reproductive SystemOcclusion
0UL77DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial OpeningMedical and SurgicalFemale Reproductive SystemOcclusion
0UL77ZZOcclusion of Bilateral Fallopian Tubes, Via Natural or Artificial OpeningMedical and SurgicalFemale Reproductive SystemOcclusion
0UL78DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening EndoscopicMedical and SurgicalFemale Reproductive SystemOcclusion
0UL78ZZOcclusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening EndoscopicMedical and SurgicalFemale Reproductive SystemOcclusion
0V5N0ZZDestruction of Right Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5N3ZZDestruction of Right Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5N4ZZDestruction of Right Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5P0ZZDestruction of Left Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5P3ZZDestruction of Left Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5P4ZZDestruction of Left Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5Q0ZZDestruction of Bilateral Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5Q3ZZDestruction of Bilateral Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemDestruction
0V5Q4ZZDestruction of Bilateral Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemDestruction
0VBN0ZZExcision of Right Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBN3ZZExcision of Right Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBN4ZZExcision of Right Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBP0ZZExcision of Left Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBP3ZZExcision of Left Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBP4ZZExcision of Left Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBQ0ZZExcision of Bilateral Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBQ3ZZExcision of Bilateral Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemExcision
0VBQ4ZZExcision of Bilateral Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemExcision
0VLF0CZOcclusion of Right Spermatic Cord with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF0DZOcclusion of Right Spermatic Cord with Intraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF0ZZOcclusion of Right Spermatic Cord, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF3CZOcclusion of Right Spermatic Cord with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF3DZOcclusion of Right Spermatic Cord with Intraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF3ZZOcclusion of Right Spermatic Cord, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF4CZOcclusion of Right Spermatic Cord with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF4DZOcclusion of Right Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLF4ZZOcclusion of Right Spermatic Cord, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG0CZOcclusion of Left Spermatic Cord with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG0DZOcclusion of Left Spermatic Cord with Intraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG0ZZOcclusion of Left Spermatic Cord, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG3CZOcclusion of Left Spermatic Cord with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG3DZOcclusion of Left Spermatic Cord with Intraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG3ZZOcclusion of Left Spermatic Cord, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG4CZOcclusion of Left Spermatic Cord with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG4DZOcclusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLG4ZZOcclusion of Left Spermatic Cord, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH0CZOcclusion of Bilateral Spermatic Cords with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH0DZOcclusion of Bilateral Spermatic Cords with Intraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH0ZZOcclusion of Bilateral Spermatic Cords, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH3CZOcclusion of Bilateral Spermatic Cords with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH3DZOcclusion of Bilateral Spermatic Cords with Intraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH3ZZOcclusion of Bilateral Spermatic Cords, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH4CZOcclusion of Bilateral Spermatic Cords with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH4DZOcclusion of Bilateral Spermatic Cords with Intraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLH4ZZOcclusion of Bilateral Spermatic Cords, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN0CZOcclusion of Right Vas Deferens with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN0ZZOcclusion of Right Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN3CZOcclusion of Right Vas Deferens with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN3ZZOcclusion of Right Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN4CZOcclusion of Right Vas Deferens with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLN4ZZOcclusion of Right Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP0CZOcclusion of Left Vas Deferens with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP0ZZOcclusion of Left Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP3CZOcclusion of Left Vas Deferens with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP3ZZOcclusion of Left Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP4CZOcclusion of Left Vas Deferens with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLP4ZZOcclusion of Left Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ0CZOcclusion of Bilateral Vas Deferens with Extraluminal Device, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ0ZZOcclusion of Bilateral Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ3CZOcclusion of Bilateral Vas Deferens with Extraluminal Device, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ3ZZOcclusion of Bilateral Vas Deferens, Percutaneous ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ4CZOcclusion of Bilateral Vas Deferens with Extraluminal Device, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VLQ4ZZOcclusion of Bilateral Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemOcclusion
0VTN0ZZResection of Right Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemResection
0VTN4ZZResection of Right Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemResection
0VTP0ZZResection of Left Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemResection
0VTP4ZZResection of Left Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemResection
0VTQ0ZZResection of Bilateral Vas Deferens, Open ApproachMedical and SurgicalMale Reproductive SystemResection
0VTQ4ZZResection of Bilateral Vas Deferens, Percutaneous Endoscopic ApproachMedical and SurgicalMale Reproductive SystemResection