2027 ICD-10-CM Diagnosis Code Z98.52Vasectomy status

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z98

ICD-10-CM Z98.52
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z98.52 is a billable ICD-10-CM diagnosis code for vasectomy status. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. Coders also document this condition as H/O: vasectomy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Contraceptive and procreative management.

Code Identity

ICD-10-CM Code
Z98.52
Billable Status
Yes — Valid for Submission
Code Describes
Vasectomy status
Short Description
Vasectomy status
Same as the full description in the CMS dataset.
Parent Code
Z98.5
Sterilization status

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ98Other postprocedural states
This CodeZ98.52Vasectomy status

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z98.52.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z98.52 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • H/O: vasectomy
  • History of sterilization
  • Postvasectomy azoospermia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z98.52: its own notes plus those printed at Z98.5, Z98, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes1

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

From Z98.5 Sterilization status applies to 2 codes
  • female infertility (N97.-)
  • male infertility (N46.-)

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 Z98 Other postprocedural states applies to 23 codes
  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (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 Z98.52, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z98.52: they are not reported together with it, unless the two conditions are unrelated.

  • N46 Male infertility
    vasectomy status (Z98.52)

Excludes2 2

These codes carry an Excludes2 note naming Z98.52: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z87.7 Personal history of (corrected) congenital malformations
    other postprocedural states (Z98.-) names Z98.-, which includes this code
  • Z92 Personal history of medical treatment
    postprocedural states (Z98.-) names Z98.-, 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 FAC013
Contraceptive and procreative management
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert Z98.52 to ICD-9-CMHistory

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

ICD-9-CM
V26.52 Vasectomy status
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z98.52Overview

What is the ICD-10 code for vasectomy status?

The ICD-10-CM code for vasectomy status is Z98.52 (sometimes written as Z9852). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z98.52 (Sterilization status) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report vasectomy status on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z98.52 group to?

On inpatient claims, vasectomy status maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z98.52 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because vasectomy status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z98.52 be reported for?

The Medicare Code Editor checks vasectomy status against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.