Z98.5 — Sterilization status
Is Z98.5 billable?
No — Z98.5 is a non-billable header code. Z98.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath Z98.5.
Billable codes under this header
Z98.5 at a glance
| Code | Z98.5 |
|---|---|
| Description | Sterilization status |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with Z98.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Z98
The conditions below are not part of Z98.5, but a patient may have both at the same time. When documentation supports it, Z98.5 and the excluded code may both be reported.
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z98.5 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
What codes fall under Z98.5? (2)
How long has Z98.5 existed?
Z98.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.