Z98.5 — Sterilization status
Z98.5 is a non-billable header ICD-10-CM code for sterilization status. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 inherited from the categories above Z98.5
Also inherited, and the opposite of Excludes1: these conditions are not part of Z98.5, but a patient can have both, so you may code both.
Other codes that can never be billed with Z98.5
These codes carry an Excludes1 note pointing at Z98.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z98.5 alone.
- N46Male infertility
Risk adjustment
Z98.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code history
Z98.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead Z98.5
2 child codes. Green means billable.
Related codes at this level
Codes that share Z98. If Z98.5 is not quite right, the correct code is usually one of these.
Questions about Z98.5
- Is Z98.5 a billable ICD-10-CM code?
- No. Z98.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z98.5 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
- What cannot be coded together with Z98.5?
- Z98.5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.