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Transplant status that risk adjusts or has associated Risk Adjustment Factor (RAF)

I was wondering what codes for transplant status actually risk adjust or have associated Risk Adjustment Factor (RAF), here's a list:


Transplanted organs

Z94.0 Kidney transplant status

Z94.1 Heart transplant status

Z94.2 Lung transplant status

Z94.3 Heart and lungs transplant status

Z94.4 Liver transplant status

Other

Z94.81 Bone marrow transplant status

Z94.82 Intestine transplant status

Z94.83 Pancreas transplant status

Z94.84 Stem cells transplant status


Kidney transplant is not included. These 'Z' codes communicate the status of a transplant. The only documentation needed is the provider's documentation of presence or history of there having been a transplant. 

These codes belong in HCC 186 Major Organ Transplant or Replacement Status

Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.


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