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: