Z94.5 — Skin transplant status

Billable

Is Z94.5 billable?

Yes — Z94.5 is billable for FY2027. Z94.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z94.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z94.5 at a glance

Code	Z94.5
Description	Skin transplant status
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

What Medicare edits apply to Z94.5?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z94.5 directly.

Cannot be a principal diagnosis — MCE edit 9

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 Z94.5 group to?

Z94.5 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

606Minor Skin Disorders with MCCmedical
607Minor Skin Disorders without MCCmedical

How is Z94.5 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z94.5. They show the wording a clinician may have documented, which often differs from the Tabular description.

Transplant › skin (ed) (status)

Inclusion terms

Alternative wording in documentation that is classified to Z94.5.

Autogenous skin transplant status

Excludes1 — never code together — inherited from Z94

The conditions below can never be reported together with Z94.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

complications of transplanted organ or tissue - see Alphabetical Index

Excludes2 — not included here — inherited from Z94

The conditions below are not part of Z94.5, but a patient may have both at the same time. When documentation supports it, Z94.5 and the excluded code may both be reported.

presence of vascular grafts (Z95.-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z94.5 is sequenced first depends on the reason for the encounter.

any follow-up examination (Z08-Z09)

How long has Z94.5 existed?

Z94.5 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.

Which conditions are coded to Z94.5?

ICD-10 code for Transplant