Skip to content
Dx

ICD-10-PCS 2027 procedure code

0U578ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedureFemale only

Short description: Destruction of Bilateral Fallopian Tubes, Endo

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0U578ZZ

0U578ZZ is the ICD-10-PCS code for a destruction procedure on the bilateral fallopian tubes using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other bilateral endoscopic destruction or occlusion of fallopian tubes and excision or destruction of lesion of fallopian tube, the ICD-9-CM procedure titles it maps to (66.29 and 66.61).

For a different body part, codes include 0U508ZZ (right ovary), 0U518ZZ (left ovary), 0U528ZZ (bilateral ovaries), 0U548ZZ (uterine supporting structure), 0U558ZZ (right fallopian tube), 0U568ZZ (left fallopian tube) and 6 more.

The same procedure with a different approach is coded 0U570ZZ (open), 0U573ZZ (percutaneous), 0U574ZZ (percutaneous endoscopic) and 0U577ZZ (via natural or artificial opening).

It is an operating-room procedure in the MS-DRG logic for DRG 744 (D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC), DRG 745 (D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC), DRG 783 (Cesarean Section with Sterilization with MCC), DRG 784 (Cesarean Section with Sterilization with CC), DRG 785 (Cesarean Section with Sterilization without CC/MCC) and DRG 796 (Vaginal Delivery with Sterilization and/or D&C with MCC), under the surgical categories “D&C, Conization, Laparoscopy and Tubal Interruption”, “Cesarean Section with Sterilization” and “Vaginal Delivery with Sterilization and/or D&C”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
UFemale Reproductive System
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
7Fallopian Tubes, Bilateral
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 13 · Diseases and Disorders of the Female Reproductive System · D&C, Conization, Laparoscopy and Tubal Interruption

ICD-9-CM equivalent

Converter →
  • 66.29Other bilateral endoscopic destruction or occlusion of fallopian tubesapproximate
  • 66.61Excision or destruction of lesion of fallopian tubeapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0U578ZZ

Is 0U578ZZ a valid ICD-10-PCS code for 2027?

Yes. 0U578ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0U578ZZ an O.R. procedure?

Yes. 0U578ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0U578ZZ group to?

Depending on the principal diagnosis, 0U578ZZ can group to MS-DRG 744, MS-DRG 745, MS-DRG 783, MS-DRG 784, MS-DRG 785 and MS-DRG 796.

What is the ICD-9 procedure code for 0U578ZZ?

The CMS GEMs map 0U578ZZ to ICD-9-CM 66.29 (Other bilateral endoscopic destruction or occlusion of fallopian tubes) and 66.61 (Excision or destruction of lesion of fallopian tube).