Is Z98.85 a billable ICD-10-CM code?

Yes. Z98.85 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z98.85 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z98.85?

Z98.85 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z98.85

Z98.85 — Transplanted organ removal status

Billable / specific codeICD-10-CMPOA exempt

Z98.85 is a billable, specific ICD-10-CM code for transplanted organ removal status. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Transplanted organ previously removed due to complication, failure, rejection or infection

Risk adjustment

Z98.85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z98.85 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 Z98.85.

Status›transplant›organ removed
Transplant›organ›removal status

Related codes at this level

Codes that share Z98.8. If Z98.85 is not quite right, the correct code is usually one of these.

Questions about Z98.85

Is Z98.85 a billable ICD-10-CM code?: Yes. Z98.85 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z98.85 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z98.85?: Z98.85 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.