Z94.5 — Skin transplant status
Z94.5 is a billable, specific ICD-10-CM code for skin transplant status. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Autogenous skin transplant status
Risk adjustment
Z94.5 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
Z94.5 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56638Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
- A56642Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
How Z94.5 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 Z94.5.
- Transplant›skin
Related codes at this level
Codes that share Z94. If Z94.5 is not quite right, the correct code is usually one of these.
- Z94.0Kidney transplant status
- Z94.1Heart transplant status
- Z94.2Lung transplant status
- Z94.3Heart and lungs transplant status
- Z94.4Liver transplant status
- Z94.6Bone transplant status
- Z94.7Corneal transplant status
- Z94.8Other transplanted organ and tissue status
- Z94.9Transplanted organ and tissue status, unspecified
Questions about Z94.5
- Is Z94.5 a billable ICD-10-CM code?
- Yes. Z94.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z94.5 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).