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Tubal ligation status

ICD10CM code

Tubal Ligation Status (ICD Code Z98.51)

Name of the Condition

  • Common Names: Tubal ligation status, post-tubal ligation
  • Medical Term: Sterilization status

Summary

Tubal ligation status indicates a condition following a surgical procedure where a woman's fallopian tubes are permanently blocked or sealed to prevent pregnancy. It is considered a form of permanent contraception.

Causes

  • This status results from choosing to undergo a tubal ligation surgery, typically for contraceptive purposes.

Risk Factors

  • There are no risk factors for developing this status; it is a deliberate and elective choice made by the patient.

Symptoms

  • There are no symptoms, as this status results from a surgical procedure rather than a disease state.

Diagnosis

  • Diagnosed based on the patient's medical history and confirmation of having undergone tubal ligation surgery.

Treatment Options

  • No treatment is necessary for the status itself, as it is the outcome of a voluntary procedure to prevent future pregnancies.

Prognosis and Follow-Up

  • The tubal ligation is considered permanent, with a high success rate in preventing pregnancy. Follow-up may include routine medical check-ups to monitor reproductive health and address any concerns post-surgery.

Complications

  • Rare but potential complications may include post-surgical infection or, in very rare cases, failure of the procedure leading to ectopic pregnancy.

Lifestyle & Prevention

  • Lifestyle recommendations include maintaining general reproductive health through regular gynecological exams. As this is a preventative measure for pregnancy, no additional preventive actions regarding this status are applicable.

When to Seek Professional Help

  • Seek medical attention if experiencing any unusual symptoms post-surgery, such as severe pain, bleeding, or signs of infection.

Additional Resources

Tips for Medical Coders

  • Ensure accurate documentation and confirmation that the patient has undergone tubal ligation when using ICD code Z98.51.
  • Avoid common coding errors by not confusing it with active pregnancy or conditions requiring active treatment related to fertility.

Medical Policies and Guidelines for Tubal ligation status

Related policies from health plans

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