Version 2024

2024 ICD-10-CM Diagnosis Code Z98.5

Sterilization status

ICD-10-CM Code:
Z98.5
ICD-10 Code for:
Sterilization status
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Factors influencing health status and contact with health services
    (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status
      (Z77-Z99)
      • Other postprocedural states
        (Z98)

Z98.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of sterilization status. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Sterilization status

Non-specific codes like Z98.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for sterilization status:

  • Use Z98.51 for Tubal ligation status - BILLABLE CODE

  • Use Z98.52 for Vasectomy status - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • female infertility N97
  • male infertility N46

Patient Education


Tubal Ligation

Tubal ligation (getting your "tubes tied") is a type of surgery. It prevents a woman from getting pregnant. It is a permanent form of birth control, and is effective right away.

The surgery cuts, ties, or seals the fallopian tubes. This blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it, and the egg cannot reach the uterus. You get the surgery in a hospital or outpatient surgical center. It usually takes about 30 minutes. Almost all women go home the same day. They can return to most normal activities within a few days.

Tubal ligation can sometimes be reversed. The reversal is major surgery, and does not always work.


[Learn More in MedlinePlus]

Vasectomy

A vasectomy is a type of minor surgery that prevents a man from being able to get a woman pregnant. It is a permanent form of birth control.

A vasectomy works by cutting the vas deferens, which are the tubes that carry the sperm out of the testicles. Then the sperm can no longer reach the semen. Semen is the fluid that the penis ejaculates (releases during orgasm). Since there are no sperm, the man cannot get a woman pregnant.

The surgery is quick; it usually takes less than 30 minutes. You will probably be able to go home the same day. You may have some discomfort, bruising, and swelling for a few days. In most cases, you will fully recover in less than a week.

A vasectomy is one of the most effective forms of birth control. But it takes about three months (or about 20 ejaculations) before it is effective. You will still need to use other birth control until you know that your semen doesn't have any more sperm in it. After two to three months, your health care provider will test your semen to make sure that there are no sperm in it.

Having a vasectomy does not affect your sex life. It does not decrease your sex drive. And it will not affect your ability to get an erection or have an orgasm.

Vasectomies can sometimes be reversed, but not always. It is done with a procedure to reconnect the vas deferens. Another option if you decide to have children later might be to have sperm taken from your testicles. The sperm could then be used for in vitro fertilization (IVF). However, this may not always work. It's also important to know that both a vasectomy reversal and IVF are expensive.

Having a vasectomy does not protect you from sexually transmitted diseases (STDS), such as HIV. Using a condom every time you have anal, vaginal, or oral sex is the only way to protect against STDs.

NIH: National Institute of Child Health and Human Development


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.