Is Z52.4 a billable ICD-10-CM code?

Yes. Z52.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z52.4 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).

Z52.4

Z52.4 — Kidney donor

Billable / specific codeICD-10-CMPOA exempt

Z52.4 is a billable, specific ICD-10-CM code for kidney donor. It is valid for submission on a claim.

Risk adjustment

Z52.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z52.4 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
A56805Billing and Coding: Magnetic Resonance Angiography (MRA)
A56948Billing and Coding: Lab: Cystatin C Measurement
A56988Billing and Coding: Cystatin C Measurement

How Z52.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z52.4.

Donor›kidney

Related codes at this level

Codes that share Z52. If Z52.4 is not quite right, the correct code is usually one of these.

Questions about Z52.4

Is Z52.4 a billable ICD-10-CM code?: Yes. Z52.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z52.4 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).