2025 ICD-10-CM code Z00.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services for examinations Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for examination of a potential organ or tissue donor.
No modifiers are applicable to ICD-10 codes.
Medical necessity for Z00.5 is established by the need to assess the potential donor's health and suitability for organ or tissue donation.This is crucial to ensure the safety of the donor and the success of the transplant procedure for the recipient. The evaluation's purpose is directly related to potential life-saving procedures.
The clinical responsibility rests with the physician or healthcare professional conducting the donor assessment.This includes a thorough medical history, physical examination, laboratory tests, and imaging studies as deemed necessary to determine the donor's suitability and potential risks.
- Chapter 21: Factors influencing health status and contact with health services
- Z00-Z13: Persons encountering health services for examinations
In simple words: This code means a doctor checked someone to see if they could donate an organ or tissue.
This ICD-10-CM code (Z00.5) signifies an encounter for the examination of an individual being considered as a potential donor of organs or tissues.The examination aims to assess the donor's suitability based on various medical criteria, including overall health, organ function, and compatibility with potential recipients.This code is used when the primary reason for the encounter is the evaluation of the potential donor, regardless of whether organ or tissue donation ultimately proceeds.
Example 1: A 25-year-old individual involved in a fatal car accident is evaluated as a potential organ donor.Z00.5 is used to code the encounter for the comprehensive medical evaluation performed to assess organ viability., A 50-year-old patient expresses interest in living kidney donation.The pre-donation evaluation, encompassing extensive tests and interviews, would be coded using Z00.5., A 30-year-old individual is evaluated for tissue donation following their death. The code Z00.5 would be used to record this pre-donation evaluation conducted by medical professionals.
Thorough documentation of the examination should include: complete medical history, including any relevant past medical conditions or surgeries; physical examination findings; results of all laboratory tests (blood work, tissue typing, etc.); imaging studies (if performed); assessment of organ or tissue viability and suitability; informed consent documentation.
** This code should only be used when the primary reason for the encounter is the assessment of a potential organ or tissue donor.It is crucial to appropriately code any other services rendered during the visit using corresponding CPT or HCPCS codes.
- Revenue Code: Revenue codes will vary depending on the specific services rendered during the examination.Consult your payer's guidelines for appropriate revenue codes.
- RVU: RVUs are not directly associated with ICD-10 codes.The reimbursement will depend on the services provided,which would be coded with CPT or HCPCS codes.These procedural codes would then have associated RVUs.
- Global Days: Not applicable to this ICD-10 code, as it does not represent a procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Fee Schedule: Not applicable to ICD-10 codes;reimbursement depends on procedures performed, coded with CPT or HCPCS codes which have associated fee schedules.
- Specialties:Transplant surgery, nephrology, hepatology, general surgery, and other specialties involved in organ and tissue donation processes.
- Place of Service:Office, hospital inpatient or outpatient department, or other relevant healthcare settings where donor evaluations occur.