What is the ICD-10 (International Classification of Diseases, 10th Revision) code for a male patient seeking a vasectomy?

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ICD-10 Code for Vasectomy Consultation

The appropriate ICD-10 code for a male patient seeking vasectomy is Z30.2 (Encounter for sterilization).

Primary Coding

  • Z30.2 is the specific ICD-10 code used when a patient presents for the purpose of sterilization, including vasectomy consultation and the procedure itself 1

Clinical Context

This code applies to several vasectomy-related encounters:

  • Initial consultation for vasectomy where preoperative counseling occurs 1
  • The vasectomy procedure itself when performed 1
  • Follow-up visits specifically related to the sterilization process 1

Key Documentation Requirements

When using Z30.2, ensure your documentation includes the essential counseling elements required by the American Urological Association 1:

  • Permanence of the procedure - vasectomy is intended as permanent contraception 1
  • Delayed sterility - the procedure does not produce immediate sterility and requires post-vasectomy semen analysis (PVSA) confirmation 1
  • Failure risk - approximately 1 in 2,000 pregnancy risk even after confirmed azoospermia 1, 2, 3
  • Complication rates - 1-2% risk of hematoma, infection, and chronic scrotal pain 1, 4

Common Coding Pitfall

Do not use codes for contraceptive management (Z30.09) or general counseling (Z30.09) - these are too nonspecific for sterilization procedures 1. The Z30.2 code specifically designates the encounter as sterilization-related, which is critical for proper documentation and reimbursement.

Additional Codes for Complications

If coding for post-vasectomy complications rather than the initial encounter, use:

  • N50.1 for vascular disorders of male genital organs (hematoma) 4
  • N49.9 for inflammatory disorders (infection) 4
  • N50.82 for scrotal pain (chronic post-vasectomy pain) 4

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Post-Vasectomy Semen Analysis Timing and Interpretation

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Post-Vasectomy Fertility Rates

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Management of Post-Vasectomy Complications

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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