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Code
Description

ICD-10-CM Code Z94.1
Heart transplant status

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
| ICD-10 from 2011 - 2016

Z94.1 is a billable ICD code used to specify a diagnosis of heart transplant status. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


Coding Notes for Z94.1 Info for medical coders on how to properly use this ICD-10 code

Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Artificial heart status - instead, use code Z95.812
Heart-valve replacement status (Z95.2-Z95.4) - instead, use code Z95.2-

MS-DRG Mapping

  • DRG Group #314-316 - Other circulatory system diagnoses with MCC.
  • DRG Group #314-316 - Other circulatory system diagnoses with CC.
  • DRG Group #314-316 - Other circulatory system diagnoses without CC or MCC.

Related Concepts SNOMET-CT

  • Heart transplant recipient (finding)

Coding Advice SNOMET-CT

  • Consider additional code to identify specific condition or disease

ICD-10-CM Alphabetical Index References for 'Z94.1 - Heart transplant status'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z94.1. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Heart replaced by transplant (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z94.1 and a single ICD9 code, V42.1 is an approximate match for comparison and conversion purposes.


Parent Code: Z94 - Transplanted organ and tissue status

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Z941