2025 ICD-10-CM code Z52.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care Chapter 21: Factors Influencing Health Status and Contact with Health Services Feed
Skin donor; includes autologous and other living donors, excludes cadaveric donors.
Modifiers might apply depending on the circumstances of the skin donation and the associated procedures.Consult the appropriate modifier guidelines.
Medical necessity would be established by the clinical need for the skin graft in the recipient.This might involve life-threatening injuries, severe burns, or other conditions requiring skin replacement. Documentation should clearly establish the diagnosis requiring the graft.
The clinical responsibility will depend on the setting and the specifics of the skin donation procedure.This could involve dermatologists, plastic surgeons, or other specialists depending on the circumstances.
- Chapter 21: Factors Influencing Health Status and Contact with Health Services
- Z52-Z53 Encounters for other specific health care
In simple words: This code is used when someone donates their skin to another person.This includes situations where someone donates their own skin or when a living person donates skin to someone else. This code does not apply if the skin is donated from a deceased person.
This code is used to classify encounters for individuals donating skin, encompassing both autologous (self-donation) and other living donors.It excludes cases involving cadaveric (deceased) donors.The code should be used when the primary reason for the encounter is the skin donation process, and a corresponding procedure code must be included if a procedure is performed.
Example 1: A patient undergoes an autologous skin graft procedure where skin is harvested from one area of the body and grafted to another. Z52.1 would be used to describe the skin donation aspect of the procedure, along with the appropriate procedure code(s)., A living donor provides a skin graft to a recipient with extensive burns.In this case, Z52.1 would be used to indicate the living donor's participation, complemented by the relevant procedure codes for both the donor and the recipient., A patient volunteers to donate a skin sample for research purposes. Z52.1 would be assigned in this circumstance with the appropriate procedure code indicating the method of obtaining the skin sample.
Thorough documentation should include details of the skin donation process, type of donor (autologous or living), surgical procedures, consent forms, and any complications.The documentation must support the medical necessity of the procedure and the appropriate billing.
** Always ensure the documentation fully supports the medical necessity of the skin donation and any associated procedures.Consult the official ICD-10-CM coding guidelines and payer-specific guidelines for the most accurate coding and billing practices.Consider the use of additional codes to fully describe the encounter.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.Consult the appropriate revenue code guidelines.
- RVU: RVUs are not directly provided for ICD-10 codes. Reimbursement will depend on the specific procedures performed, place of service, and payer.
- Global Days: Not applicable to this ICD-10 code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Fee Schedule: Not applicable; fee schedules are not directly associated with ICD-10 codes. Reimbursement will be determined by the procedures performed and the payer’s fee schedules.
- Specialties:Plastic surgery, dermatology, and potentially other surgical specialties depending on the context of the skin donation.
- Place of Service:The place of service could vary. Common examples include inpatient hospital, outpatient surgery center, or a physician's office.This needs to be determined based on the scenario.