Author: GDIT, 1-800-688-6696
Sterilization claims must be submitted with ICD-10-CM diagnosis Z30.2 (encounter for sterilization) as the primary or secondary diagnosis code on the claim.
Effective Oct. 1, 2018, claims submitted without diagnosis Z30.2 as the primary or secondary diagnosis on the claim, will be denied with EOB 01879 (sterilization claims must be submitted with diagnosis Z30.2 (encounter for sterilization) as the primary or secondary diagnosis code. Correct and resubmit claim.).
Providers are encouraged to review Clinical Policy 1E-3 Sterilization Procedures for guidance on billing and completing the sterilization consent form.