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Z94 ICD-10-CM Code: Transplanted organ and tissue status

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z94

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Transplanted organ and tissue status

Transplanted organ and tissue status

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z9Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z94Transplanted organ and tissue status

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z94 in this effective period.

Excludes 2

Official
  • presence of vascular grafts (Z95.-)

Related Child Codes

Official
Z94.0Kidney transplant status
Z94.1Heart transplant status
Z94.2Lung transplant status
Z94.3Heart and lungs transplant status
Z94.4Liver transplant status

Includes

Official
  • organ or tissue replaced by heterogenous or homogenous transplant

Excludes 1

Official
  • complications of transplanted organ or tissue - see Alphabetical Index

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z94 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z94 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z94 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

Z94 is the ICD-10-CM diagnosis code for transplanted organ and tissue status. Z94 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).

Header codes like Z94 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z94's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z94 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • organ or tissue replaced by heterogenous or homogenous transplant

Excludes 1, Do NOT code together

  • complications of transplanted organ or tissue - see Alphabetical Index

Excludes 2, Not included here, may code separately

  • presence of vascular grafts (Z95.-)

Child Codes

Code Hierarchy

Z94Transplanted organ and tissue status
Z94Transplanted organ and tissue status

More on Z94

Related condition guides

Referenced in blog posts

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