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ICD-10-PCS 2027 procedure code

0UL74ZZOcclusion of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureFemale only

Short description: Occlusion of Bilateral Fallopian Tubes, Perc Endo Approach

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 0UL74ZZ

0UL74ZZ is the ICD-10-PCS code for a occlusion procedure on the bilateral fallopian tubes using a percutaneous endoscopic approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to bilateral endoscopic ligation and crushing of fallopian tubes, bilateral endoscopic ligation and division of fallopian tubes and other bilateral endoscopic destruction or occlusion of fallopian tubes, the ICD-9-CM procedure titles it maps to (66.21, 66.22 and 66.29).

For a different body part, codes include 0UL54ZZ (right fallopian tube) and 0UL64ZZ (left fallopian tube).

The same procedure with a different approach is coded 0UL70ZZ (open), 0UL73ZZ (percutaneous), 0UL77ZZ (via natural or artificial opening) and 0UL78ZZ (via natural or artificial opening endoscopic).

With a different device, use 0UL74CZ (extraluminal device) and 0UL74DZ (intraluminal device).

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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
7Fallopian Tubes, Bilateral
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary 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 →
  • 66.21Bilateral endoscopic ligation and crushing of fallopian tubesapproximate
  • 66.22Bilateral endoscopic ligation and division of fallopian tubesapproximate
  • 66.29Other bilateral endoscopic destruction or occlusion of fallopian tubesapproximate

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 0UL74ZZ

Is 0UL74ZZ a valid ICD-10-PCS code for 2027?

Yes. 0UL74ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0UL74ZZ an O.R. procedure?

Yes. 0UL74ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0UL74ZZ group to?

Depending on the principal diagnosis, 0UL74ZZ 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 0UL74ZZ?

The CMS GEMs map 0UL74ZZ to ICD-9-CM 66.21 (Bilateral endoscopic ligation and crushing of fallopian tubes), 66.22 (Bilateral endoscopic ligation and division of fallopian tubes) and 66.29 (Other bilateral endoscopic destruction or occlusion of fallopian tubes).