Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis. Exempt from present-on-admission (POA) reporting.
Applies from Z94 Transplanted organ and tissue status
Includes
organ or tissue replaced by heterogenous or homogenous transplant
Excludes1 (never code together)
complications of transplanted organ or tissue - see Alphabetical Index
Excludes2 (not included here)
presence of vascular grafts (Z95.-)
Risk adjustment (HCC)
RxHCC V08: HCC 260 — Kidney Transplant Status
MS-DRG index
Defines the logic of DRG(s) 008 in MDC PRE.
Approximate ICD-9-CM (GEMs)
V42.0 Kidney replaced by transplant (approximate)
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z94.0
Back-references to Z94.0
Use Additional: N18 Chronic kidney disease (CKD) ("kidney transplant status (Z94.0)")
Back-references to Z94
Type 1 Excludes: Z18 Retained foreign body fragments ("organ or tissue replaced by transplant (Z94.-)")
Type 2 Excludes: Z78 Other specified health status ("postprocedural status (Z93-Z99)")
Type 2 Excludes: Z87.7 Personal history of (corrected) congenital malformations ("transplanted organ and tissue status (Z94.-)")