MCMedicalCodingSoftware
Z98.5

Z98.5: Sterilization status

Non-billable headerICD-10-CM

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.

  • female infertility (N97.-)
  • male infertility (N46.-)

Excludes2 inherited from the categories above Z98.5

Not part of this code, but both may be coded when both are present.

Written on Z98: Other postprocedural states

  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

Other codes that can never be billed with Z98.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • N46Male infertility

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z98.5

2 child codes. Green means billable.

Other codes under Z98

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.