Z00.5

Z00.5: Encounter for examination of potential donor of organ and tissue

Billable / specific codeICD-10-CMPOA exempt

Z00.5 is a billable, specific ICD-10-CM code for encounter for examination of potential donor of organ and tissue. It is valid for submission on a claim.

Check Z00.5 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z00.5

A category’s note binds every code beneath it.

Written on Z00: Encounter for general examination without complaint, suspected or reported diagnosis

encounter for examination for administrative purposes (Z02.-)

Excludes2 inherited from the categories above Z00.5

Not part of this code, but both may be coded when both are present.

Written on Z00: Encounter for general examination without complaint, suspected or reported diagnosis

encounter for pre-procedural examinations (Z01.81-)
special screening examinations (Z11-Z13)

Other codes that can never be billed with Z00.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z52Donors of organs and tissues

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z00.5 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
A56805Billing and Coding: Magnetic Resonance Angiography (MRA)

Alphabetic index entries that lead here

Donor›potential, examination of
Examination›donor(potential)
Admission›examination at health care facility›donor(potential)
Examination›medical›donor(potential)

Code history

Unchanged in every release from FY2024 to FY2027.