Is ICD-10-CM code Z52 billable?

No, Z52 (Donors of organs and tissues) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code Z52 belong to?

Z52 belongs to Chapter 21 of the ICD-10-CM tabular list: Z00–Z99 (Factors Influencing Health Status and Contact with Health Services).

Z52Not billable, use a more specific code below

Donors of organs and tissues

In Encounters for other specific health care (Z40-Z53), chapter 21: Factors Influencing Health Status and Contact with Health Services

26 billable codes under Z52: none are a CC or MCC; none map to an HCC.

Instructional notes

Includes: conditions that are coded here

autologous and other living donors

Excludes1: not coded here, use a different code

cadaveric donor - omit code
examination of potential donor (Z00.5)

Also applies, from Encounters for other specific health care (Z40-Z53)

These notes sit on Z40-Z53 and apply to every code under it, including Z52.

Includes: conditions that are coded here

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Excludes2: not included here, code separately if applicable

follow-up examination for medical surveillance after treatment (Z08-Z09)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.

Use of Z Codes in Any Healthcare Setting (page 92)
Z Codes Indicate a Reason for an Encounter or Provide Additional Information about a Patient Encounter (page 93)
Categories of Z Codes (page 93)

Read Section I.C.21 (page 92)

All codes under Z52

Z52 can't be used on a claim. Pick a billable code below; grey headings group them.

Z52 MS-DRGs

As the principal diagnosis, the billable codes under Z52 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 951 Other Factors Influencing Health Status (18 of 26 codes)
DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (3 of 26 codes)
DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (3 of 26 codes)
DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (3 of 26 codes)
DRG 606 Minor Skin Disorders with MCC (3 of 26 codes)
DRG 607 Minor Skin Disorders without MCC (3 of 26 codes)
DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (1 of 26 codes)
DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (1 of 26 codes)
DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (1 of 26 codes)
DRG 698 Other Kidney and Urinary Tract Diagnoses with MCC (1 of 26 codes)
DRG 699 Other Kidney and Urinary Tract Diagnoses with CC (1 of 26 codes)
DRG 700 Other Kidney and Urinary Tract Diagnoses without CC/MCC (1 of 26 codes)

Other codes that refer to Z52

Notes on these codes point to Z52.

Z40 Excludes1: organ donations (Z52.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Organ Donation

Organ donation takes healthy organs and tissues from one person for transplantation into another. Experts say that the organs from one donor can save or help as many as 50 people. Organs you can donate include:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.