2026 ICD-10-CM Diagnosis Code Z40.03Encounter for prophylactic removal of fallopian tube(s)

ICD-10-CM Codes›Z00–Z99›Z40-Z53›Z40

ICD-10-CM Z40.03
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z40.03 is a billable ICD-10-CM diagnosis code for encounter for prophylactic removal of fallopian tube(s). It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 742 through 743, 760 through 761. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Encounter for prophylactic or other procedures.

Code Identity

ICD-10-CM Code
Z40.03
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for prophylactic removal of fallopian tube(s)
Short Description
Encounter for prophylactic removal of fallopian tube(s)
Same as the full description in the CMS dataset.
Parent Code
Z40.0
Encounter for prophylactic surgery for risk factors related to malignant neoplasms

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ40-Z53Encounters for other specific health care
CategoryZ40Encounter for prophylactic surgery
This CodeZ40.03Encounter for prophylactic removal of fallopian tube(s)

Present on Admission (POA)Billing

Z40.03 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Admission(for)
      • prophylactic (measure)
        • organ removal
          • fallopian tube (s)
    • Prophylactic
      • organ removal (for neoplasia management)
        • fallopian tube (s)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC004
Encounter for prophylactic or other procedures
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Surgery to Reduce the Risk of Breast Cancer

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z40.03 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V50.49 Prphylct orgn rmvl other
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement Z40.03 replaces the following previously assigned code(s):

  • Z40.09 - Encounter for prophylactic removal of other organ
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z40.03Overview

Is Z40.03 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for prophylactic removal of fallopian tube(s) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z40.03 group to?

When encounter for prophylactic removal of fallopian tube(s) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Z40.03 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for prophylactic removal of fallopian tube(s) on inpatient claims.

What is the ICD-9 equivalent of Z40.03?

Under the General Equivalence Mappings, encounter for prophylactic removal of fallopian tube(s) converts to ICD-9-CM V50.49 (prphylct orgn rmvl other). The mapping is approximate, so confirm the match fits the documentation.