J4A.0
J4A.0: Restrictive allograft syndrome
Billable / specific codeICD-10-CM
J4A.0 is a billable, specific ICD-10-CM code for restrictive allograft syndrome. It is valid for submission on a claim.
Check J4A.0 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans syndrome (J44.81)
Risk adjustment
J4A.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 276 Lung Transplant Status/Complications2.531 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
J4A.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57115Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation
Alphabetic index entries that lead here
- Syndrome›restrictive allograft
- Dysfunction›chronic›lung allograft›mixed
Code history
Unchanged in every release from FY2024 to FY2027.