D47.Z1
D47.Z1: Post-transplant lymphoproliferative disorder (PTLD)
Billable / specific codeICD-10-CM
D47.Z1 is a billable, specific ICD-10-CM code for post-transplant lymphoproliferative disorder (ptld). It is valid for submission on a claim.
Check D47.Z1 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
- complications of transplanted organs and tissue (T86.-)
Risk adjustment
D47.Z1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D47.Z1 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Alphabetic index entries that lead here
- Disorder›lymphoproliferative, post-transplant(PTLD)
- Disorder›post-transplant lymphoproliferative
- Complication›transplant›post-transplant lymphoproliferative disorder(PTLD)
Code history
Unchanged in every release from FY2024 to FY2027.