Table 6P.1b--List of ICD-10-PCS procedure codes that relate to the proposed new Non-Covered Procedure Edit for Sterilization 	
1 Proposed Medicare Code Editor (MCE) changes	
ICD-10-PCS Procedure Code	  Code Description
0U570ZZ	"Destruction of Bilateral Fallopian Tubes, Open Approach"
0U573ZZ	"Destruction of Bilateral Fallopian Tubes, Perc Approach"
0U574ZZ	"Destruction of Bilateral Fallopian Tubes, Perc Endo Approach"
0U577ZZ	"Destruction of Bilateral Fallopian Tubes, Via Opening"
0U578ZZ	"Destruction of Bilateral Fallopian Tubes, Endo"
0UL70CZ	"Occlusion Bi Fallopian Tube w Extralum Dev, Open"
0UL70DZ	"Occlusion Bi Fallopian Tube w Intralum Dev, Open"
0UL70ZZ	"Occlusion of Bilateral Fallopian Tubes, Open Approach"
0UL73CZ	"Occlusion Bi Fallopian Tube w Extralum Dev, Perc"
0UL73DZ	"Occlusion Bi Fallopian Tube w Intralum Dev, Perc"
0UL73ZZ	"Occlusion of Bilateral Fallopian Tubes, Perc Approach"
0UL74CZ	"Occlusion Bi Fallopian Tube w Extralum Dev, Perc Endo"
0UL74DZ	"Occlusion Bi Fallopian Tube w Intralum Dev, Perc Endo"
0UL74ZZ	"Occlusion of Bilateral Fallopian Tubes, Perc Endo Approach"
0UL77DZ	"Occlusion Bi Fallopian Tube w Intralum Dev, Via Opening"
0UL77ZZ	"Occlusion of Bilateral Fallopian Tubes, Via Opening"
0UL78DZ	"Occlusion of Bi Fallopian Tube with Intralum Dev, Endo"
0UL78ZZ	"Occlusion of Bilateral Fallopian Tubes, Endo"
0V5N0ZZ	"Destruction of Right Vas Deferens, Open Approach"
0V5N3ZZ	"Destruction of Right Vas Deferens, Percutaneous Approach"
0V5N4ZZ	"Destruction of Right Vas Deferens, Perc Endo Approach"
0V5P0ZZ	"Destruction of Left Vas Deferens, Open Approach"
0V5P3ZZ	"Destruction of Left Vas Deferens, Percutaneous Approach"
0V5P4ZZ	"Destruction of Left Vas Deferens, Perc Endo Approach"
0V5Q0ZZ	"Destruction of Bilateral Vas Deferens, Open Approach"
0V5Q3ZZ	"Destruction of Bilateral Vas Deferens, Percutaneous Approach"
0V5Q4ZZ	"Destruction of Bilateral Vas Deferens, Perc Endo Approach"
0VBN0ZZ	"Excision of Right Vas Deferens, Open Approach"
0VBN3ZZ	"Excision of Right Vas Deferens, Percutaneous Approach"
0VBN4ZZ	"Excision of Right Vas Deferens, Perc Endo Approach"
0VBP0ZZ	"Excision of Left Vas Deferens, Open Approach"
0VBP3ZZ	"Excision of Left Vas Deferens, Percutaneous Approach"
0VBP4ZZ	"Excision of Left Vas Deferens, Perc Endo Approach"
0VBQ0ZZ	"Excision of Bilateral Vas Deferens, Open Approach"
0VBQ3ZZ	"Excision of Bilateral Vas Deferens, Percutaneous Approach"
0VBQ4ZZ	"Excision of Bilateral Vas Deferens, Perc Endo Approach"
0VLF0CZ	"Occlusion of R Sperm Cord with Extralum Dev, Open  Approach"
0VLF0DZ	"Occlusion of R Sperm Cord with Intralum Dev, Open Approach"
0VLF0ZZ	"Occlusion of Right Spermatic Cord, Open Approach"
0VLF3CZ	"Occlusion of R Sperm Cord with Extralum Dev, Perc  Approach"
0VLF3DZ	"Occlusion of R Sperm Cord with Intralum Dev, Perc Approach"
0VLF3ZZ	"Occlusion of Right Spermatic Cord, Percutaneous Approach"
0VLF4CZ	"Occlusion R Sperm Cord w Extralum Dev, Perc Endo"
0VLF4DZ	"Occlusion R Sperm Cord w Intralum Dev, Perc Endo"
0VLF4ZZ	"Occlusion of Right Spermatic Cord, Perc Endo Approach"
0VLG0CZ	"Occlusion of L Sperm Cord with Extralum Dev, Open  Approach"
0VLG0DZ	"Occlusion of L Sperm Cord with Intralum Dev, Open Approach"
0VLG0ZZ	"Occlusion of Left Spermatic Cord, Open Approach"
0VLG3CZ	"Occlusion of L Sperm Cord with Extralum Dev, Perc Approach"
0VLG3DZ	"Occlusion of L Sperm Cord with Intralum Dev, Perc Approach"
0VLG3ZZ	"Occlusion of Left Spermatic Cord, Percutaneous Approach"
0VLG4CZ	"Occlusion L Sperm Cord w Extralum Dev, Perc Endo"
0VLG4DZ	"Occlusion L Sperm Cord w Intralum Dev, Perc Endo"
0VLG4ZZ	"Occlusion of Left Spermatic Cord, Perc Endo Approach"
0VLH0CZ	"Occlusion of Bi Sperm Cord with Extralum Dev, Open  Approach"
0VLH0DZ	"Occlusion of Bi Sperm Cord with Intralum Dev, Open Approach"
0VLH0ZZ	"Occlusion of Bilateral Spermatic Cords, Open Approach"
0VLH3CZ	"Occlusion of Bi Sperm Cord with Extralum Dev, Perc Approach"
0VLH3DZ	"Occlusion of Bi Sperm Cord with Intralum Dev, Perc Approach"
0VLH3ZZ	"Occlusion of Bilateral Spermatic Cords, Perc Approach"
0VLH4CZ	"Occlusion Bi Sperm Cord w Extralum Dev, Perc Endo"
0VLH4DZ	"Occlusion Bi Sperm Cord w Intralum Dev, Perc Endo"
0VLH4ZZ	"Occlusion of Bilateral Spermatic Cords, Perc Endo Approach"
0VLN0CZ	"Occlusion of R Vas Deferens with Extralum Dev, Open Approach"
0VLN0ZZ	"Occlusion of Right Vas Deferens, Open Approach"
0VLN3CZ	"Occlusion of R Vas Deferens with Extralum Dev, Perc Approach"
0VLN3ZZ	"Occlusion of Right Vas Deferens, Percutaneous Approach"
0VLN4CZ	"Occlusion R Vas Deferens w Extralum Dev, Perc Endo"
0VLN4ZZ	"Occlusion of Right Vas Deferens, Perc Endo Approach"
0VLP0CZ	"Occlusion of L Vas Deferens with Extralum Dev, Open Approach"
0VLP0ZZ	"Occlusion of Left Vas Deferens, Open Approach"
0VLP3CZ	"Occlusion of L Vas Deferens with Extralum Dev, Perc Approach"
0VLP3ZZ	"Occlusion of Left Vas Deferens, Percutaneous Approach"
0VLP4CZ	"Occlusion L Vas Deferens w Extralum Dev, Perc Endo"
0VLP4ZZ	"Occlusion of Left Vas Deferens, Perc Endo Approach"
0VLQ0CZ	"Occlusion Bi Vas Deferens w Extralum Dev, Open"
0VLQ0ZZ	"Occlusion of Bilateral Vas Deferens, Open Approach"
0VLQ3CZ	"Occlusion Bi Vas Deferens w Extralum Dev, Perc"
0VLQ3ZZ	"Occlusion of Bilateral Vas Deferens, Percutaneous Approach"
0VLQ4CZ	"Occlusion Bi Vas Deferens w Extralum Dev, Perc Endo"
0VLQ4ZZ	"Occlusion of Bilateral Vas Deferens, Perc Endo Approach"
0VTN0ZZ	"Resection of Right Vas Deferens, Open Approach"
0VTN4ZZ	"Resection of Right Vas Deferens, Perc Endo Approach"
0VTP0ZZ	"Resection of Left Vas Deferens, Open Approach"
0VTP4ZZ	"Resection of Left Vas Deferens, Perc Endo Approach"
0VTQ0ZZ	"Resection of Bilateral Vas Deferens, Open Approach"
0VTQ4ZZ	"Resection of Bilateral Vas Deferens, Perc Endo Approach"
