New code ยท FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
Z40.81
- Z40CategoryEncounter for prophylactic surgery
- 8Character 4Encounter for other prophylactic surgery
- 1Character 5Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
Coding notes
Inclusion terms
- Encounter for prophylactic oophorectomy for persons without known genetic/ familial risk factors
Excludes1 (from Z40)
- organ donations (Z52.-)
- therapeutic organ removal-code to condition
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.