2025 ICD-10-CM code Z31.42
Aftercare following sterilization reversal
Medical necessity for the aftercare is established by the performance of the sterilization reversal surgery.The post-operative care is necessary to monitor healing and address any complications.
The provider is responsible for the post-operative care following sterilization reversal surgery. This includes evaluating healing, addressing any complications, and providing guidance on fertility.
In simple words: This code is used for follow-up care after surgery to reverse sterilization.
Aftercare following sterilization reversal. This code is used for encounters after a surgical procedure to reverse a prior sterilization procedure, for both male and female patients.It includes post-operative checkups and monitoring related to the reversal.
Example 1: A 35-year-old female presents for a follow-up appointment after undergoing a tubal ligation reversal procedure. The physician assesses the surgical site for healing and discusses potential fertility treatments., A 42-year-old male returns for a post-operative check-up after a vasectomy reversal.The physician orders a semen analysis to assess the success of the procedure., A 28-year-old female who underwent a sterilization reversal reports pelvic pain. The physician examines her and performs an ultrasound to rule out any complications.
Documentation should include the original sterilization procedure details, the reversal procedure details (including operative report), and the post-operative findings, including assessment of the surgical site and any complications.
- Specialties:Obstetrics and Gynecology, Urology
- Place of Service:Office, Outpatient Hospital