Z40.81 — Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
Is Z40.81 billable?
Yes — Z40.81 is billable for FY2027. Z40.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z40.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z40.81 at a glance
| Code | Z40.81 |
|---|---|
| Description | Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z40.81 group to?
Z40.81 sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
- 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical
How is Z40.81 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z40.81. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Admission › prophylactic › oophorectomy for persons without known genetic/ familial risk factors (for)
- Admission › prophylactic › organ removal › ovary › for persons without known genetic/familial risk factors (for)
Inclusion terms
Alternative wording in documentation that is classified to Z40.81.
- Encounter for prophylactic oophorectomy for persons without known genetic/ familial risk factors
Excludes1 — never code together — inherited from Z40
The conditions below can never be reported together with Z40.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- organ donations (Z52.-)
- therapeutic organ removal-code to condition
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z40.81, but a patient may have both at the same time. When documentation supports it, Z40.81 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
How long has Z40.81 existed?
Z40.81 first appears in FY2026.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.