2025 ICD-10-CM code Z52
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Encounter for other specific health care - Donors of organs and tissues Factors influencing health status and contact with health services Feed
This code classifies individuals who donate organs or tissues, encompassing both autologous and other living donors.
Modifiers may be applicable to procedure codes used in conjunction with Z52, depending on the specific circumstances of the procedure.Consult the official CPT coding guidelines for detailed information on modifiers and their usage.
Medical necessity for organ or tissue donation is established through the recipient's need for the donated material and the donor's eligibility and willingness to donate. This would involve the recipient’s medical records documenting the need for transplantation and the assessment of the donor's suitability as well as the documentation confirming the process and results.
The clinical responsibility associated with code Z52 would depend on the specific organ or tissue donated and the roles of the healthcare professionals involved in the donation process (e.g., surgeons, anesthesiologists, nurses). It's crucial to document the specific procedure performed along with all related services provided.
- Factors influencing health status and contact with health services
- Z00-Z99: Factors influencing health status and contact with health services; Z40-Z53: Encounters for other specific health care
In simple words: This code is for people who give organs or tissues to others. This can include situations where someone donates their own tissue (like in a skin graft), or where someone donates a part of their body to help someone else.It's important to note that this code only describes the act of donating;the actual surgical procedure would have its own separate code.
ICD-10-CM code Z52, "Donors of organs and tissues," is used to classify encounters where an individual donates an organ or tissue.This includes autologous donations (where the donor is also the recipient of the donated material) and donations from other living donors.The code is intended to capture the reason for the encounter and should be used in conjunction with a procedure code that describes the actual organ or tissue donation procedure.The code excludes cadaveric donors;an examination of a potential donor would be coded differently (Z00.5).Specific types of donations (e.g., blood, skin) may be further specified with additional codes within the Z52 range.
Example 1: A 25-year-old male donates bone marrow to his sister, who has leukemia. Code Z52 would be used to reflect his reason for the encounter, along with appropriate procedure codes for the bone marrow harvest and any associated procedures., A 40-year-old female undergoes a skin graft procedure, donating a portion of her skin to cover a burn wound on another patient.Z52.1 (Skin donor) and procedure codes would accurately reflect this situation., A 30-year-old male donates blood as part of a regular blood drive. This would be coded using Z52.0 (Blood donor), along with the appropriate CPT codes for the blood draw and processing procedures.
* Complete medical history of the donor, including any pre-donation screening and evaluation results.* Documentation of the informed consent process.* Detailed surgical or procedure notes, including the type and amount of organ or tissue donated.* Post-donation observation notes, including any complications or adverse events.* Confirmation of the organ or tissue's recipient.
** The use of code Z52 requires careful consideration and accurate documentation to ensure proper coding and billing.The clinical documentation must clearly support the use of code Z52 and the accompanying procedure codes.
- Revenue Code: Revenue codes will vary depending on the specific service provided and the payer.Consult your payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement for services related to organ donation would be determined by the specific procedure codes and other factors relevant to the service.
- Global Days: Not applicable to this diagnostic code.Global periods are associated with procedural codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.Technical component (TC) modifiers apply to procedure codes, not diagnostic codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules apply to procedure codes.
- Specialties:Surgery, Transplantation, Hematology, Pathology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center