ICD-10 Diagnosis Code Z40.03

Encounter for prophylactic removal of fallopian tube(s)

Diagnosis Code Z40.03

ICD-10: Z40.03
Short Description: Encounter for prophylactic removal of fallopian tube(s)
Long Description: Encounter for prophylactic removal of fallopian tube(s)
This is the 2018 version of the ICD-10-CM diagnosis code Z40.03

Valid for Submission
The code Z40.03 is valid for submission for HIPAA-covered transactions.

Revised 2019 ICD-10 Code
Z40.03 was revised for the FY 2019, effective October 1, 2018.

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for prophylactic surgery (Z40)

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Diagnoses for females only - Diagnoses for females only.

Diagnostic Related Groups
The diagnosis code Z40.03 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert to ICD-9
  • V50.49 - Prphylct orgn rmvl other (Approximate Flag)

Present on Admission (POA)
The code Z40.03 is exempt from POA reporting.

Index to Diseases and Injuries
References found for the code Z40.03 in the Index to Diseases and Injuries:


Replacement Code
This code replaces the following previously assigned ICD-10 code(s) listed below:
  • Z40.09 - Encounter for prophylactic removal of other organ


ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • 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.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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