2027 ICD-10-CM Diagnosis Code Z40.82Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors

ICD-10-CM Codes›Z00–Z99›Z40-Z53›Z40

ICD-10-CM Z40.82
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z40.82 is a billable ICD-10-CM diagnosis code for encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Z40.82
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
Short Description
Enc for proph surg for remov fallop(s) w/o gen/fam risk fctr
Parent Code
Z40.8
Encounter for other prophylactic surgery

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ40-Z53Encounters for other specific health care
CategoryZ40Encounter for prophylactic surgery
This CodeZ40.82Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors

Present on Admission (POA)Billing

Z40.82 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Encounters for other specific health care (Z40-Z53).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z40.82: its own notes plus those printed at Z40, block Z40-Z53, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Encounter for prophylactic salpingectomy for persons without known genetic/familial risk factors
  • Opportunistic salpingectomy

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Z40 Encounter for prophylactic surgery applies to 9 codes
  • organ donations (Z52.-)
  • therapeutic organ removal-code to condition

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block Z40-Z53 Encounters for other specific health care applies to 164 codes
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z40.82, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z40.82: they are not reported together with it, unless the two conditions are unrelated.

  • Z29 Encounter for other prophylactic measures
    prophylactic surgery (Z40.-) names Z40.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR FAC004
Encounter for prophylactic or other procedures
Default principal diagnosis: inpatient No · outpatient Yes

Code History & ChangesHistory

Replacement Z40.82 replaces the following previously assigned code(s):

  • Z40.8 - Encounter for other prophylactic surgery
FY 2026AddedAdded to the ICD-10-CM code setEffective October 1, 2025.
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z40.82Overview

Is Z40.82 (Encounter for other prophylactic surgery) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z40.82 group to?

When encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Z40.82 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 surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors on inpatient claims. The code appears in the Encounters for other specific health care (Z40-Z53) range of the CMS exempt list.

Can Z40.82 be reported with a code from Z52?

Not as a rule. The Excludes1 note at Z40, which applies to Z40.82, lists "organ donations (Z52.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).