Z40.03 ICD-10-CM Code: Encounter for prophylactic removal of fallopian tube(s)
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
- MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
- MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
- MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z40.03 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- organ donations (Z52.-)
- therapeutic organ removal-code to condition
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify risk factor, such as genetic susceptibility to malignant neoplasm Z15.-
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z40.03 in its code family, with their registry titles.
- Z40 — Encounter for prophylactic surgery
- Z40.0 — Encounter for prophylactic surgery for risk factors related to malignant neoplasms
- Z40.00 — Encounter for prophylactic removal of unspecified organ
- Z40.01 — Encounter for prophylactic removal of breast
- Z40.02 — Encounter for prophylactic removal of ovary(s)
- Z40.09 — Encounter for prophylactic removal of other organ
- Z40.8 — Encounter for other prophylactic surgery
- Z40.81 — Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
- Z40.82 — Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
- Z40.89 — Encounter for other prophylactic surgery
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Admission (for), prophylactic (measure), organ removal, fallopian tube (s)
- Prophylactic, organ removal (for neoplasia management), fallopian tube (s)