Z94.3

Billable

Heart and lungs transplant status

HCC Category Mapping

V24HCC 186 — Major Organ Transplant or Replacement Status

0.910

ESRDHCC 186 — Major Organ Transplant or Replacement Status

0.000

RxHCCHCC 396 — Allograft Complications

0.000

What This Code Means

A person who has received both a heart and lung transplant as a combined procedure and the transplants are currently functioning.

Coding Tips

•This code represents a single combined procedure; do not use with both Z94.1 and Z94.2 simultaneously
•Document the status of both organs and any complications affecting either transplant

Clinical Significance

This code represents successful combined heart and lung transplantation, indicating survival from end-stage cardiopulmonary disease requiring the most complex organ transplant procedure. These patients have extremely high ongoing mortality risk and require intensive immunosuppressive therapy and specialized monitoring.

Documentation Requirements

✓Confirmation of functioning combined heart-lung transplant
✓Date of combined transplant procedure
✓Current cardiac and pulmonary function
✓Complex immunosuppressive regimen
✓Specialized monitoring protocols
✓No current rejection of either organ
✓Combined transplant program follow-up
✓Original indication for combined procedure

Commonly Confused Codes

Z94.1 — Heart transplant status only Z94.2 — Lung transplant status only T86.30 — Heart-lung transplant rejection T86.39 — Other heart-lung transplant complications I50.9 — Heart failure with J44.1 COPD