D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD)
D47.Z1 is a billable, specific ICD-10-CM code for post-transplant lymphoproliferative disorder (ptld). It is valid for submission on a claim.
Code first
The underlying condition must be sequenced before this code.
- complications of transplanted organs and tissue (T86.-)
Risk adjustment
D47.Z1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
D47.Z1 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55336Billing and Coding: Retroperitoneal Ultrasound
How D47.Z1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D47.Z1.
- Disorder›lymphoproliferative, post-transplant(PTLD)
- Disorder›post-transplant lymphoproliferative
- Complication›transplant›post-transplant lymphoproliferative disorder(PTLD)
Related codes at this level
Codes that share D47.Z. If D47.Z1 is not quite right, the correct code is usually one of these.
Questions about D47.Z1
- Is D47.Z1 a billable ICD-10-CM code?
- Yes. D47.Z1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D47.Z1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).