Z52.811 — Egg (Oocyte) donor under age 35, designated recipient
Is Z52.811 billable?
Yes — Z52.811 is billable for FY2027. Z52.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z52.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z52.811 at a glance
| Code | Z52.811 |
|---|---|
| Description | Egg (Oocyte) donor under age 35, designated recipient |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z52.811?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z52.811 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z52.811 group to?
Z52.811 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z52.811 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z52.811. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Donor › egg › under age 35 › designated recipient (organ or tissue)
Excludes1 — never code together — inherited from Z52
The conditions below can never be reported together with Z52.811 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- cadaveric donor - omit code
- examination of potential donor (Z00.5)
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z52.811, but a patient may have both at the same time. When documentation supports it, Z52.811 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
How long has Z52.811 existed?
Z52.811 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.