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Z94.2

Z94.2Lung transplant status

Billable / specific codeICD-10-CMPOA exempt

Z94.2 is a billable, specific ICD-10-CM code for lung transplant status. It is valid for submission on a claim.

Risk adjustment

Z94.2 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.

Medicare coverage

Z94.2 is named in 41 Medicare coverage policies 41 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52474Immunosuppressive Drugs - Policy Article
  • A52868Billing and Coding: Transesophageal Echocardiography (TEE)
  • A55717Billing and Coding: Lab: Flow Cytometry
  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function

How Z94.2 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 Z94.2.

  • Transplantlung(s)

Related codes at this level

Codes that share Z94. If Z94.2 is not quite right, the correct code is usually one of these.

Questions about Z94.2

Is Z94.2 a billable ICD-10-CM code?
Yes. Z94.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z94.2 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.