Non-covered Procedure Codes Transplants - ICD-10-PCS Code Edits

The following 8 ICD-10-PCS codes are intended for non-covered procedure codes transplants . ICD-10-PCS procedure codes for pancreas transplants (0FYG0Z0, 0FYG0Z1) alone [without kidney transplant codes (0TY00Z0, 0TY00Z1, 0TY00Z2, 0TY10Z0, 0TY10Z1, 0TY10Z2)] are considered "Non-covered procedures" except for the following condition: When either 0FYG0Z0 (Transplantation of Pancreas, Allogeneic, Open Approach) or 0FYG0Z1 (Transplantation of Pancreas, Syngeneic, Open Approach) is combined with at least one principal or secondary diagnosis code from the following diagnoses list.


ICD-10-PCS CodeDescriptionSectionBody SystemOperation
0FYG0Z0Transplantation of Pancreas, Allogeneic, Open ApproachMedical and SurgicalHepatobiliary System and PancreasTransplantation
0FYG0Z1Transplantation of Pancreas, Syngeneic, Open ApproachMedical and SurgicalHepatobiliary System and PancreasTransplantation
0TY00Z0Transplantation of Right Kidney, Allogeneic, Open ApproachMedical and SurgicalUrinary SystemTransplantation
0TY00Z1Transplantation of Right Kidney, Syngeneic, Open ApproachMedical and SurgicalUrinary SystemTransplantation
0TY00Z2Transplantation of Right Kidney, Zooplastic, Open ApproachMedical and SurgicalUrinary SystemTransplantation
0TY10Z0Transplantation of Left Kidney, Allogeneic, Open ApproachMedical and SurgicalUrinary SystemTransplantation
0TY10Z1Transplantation of Left Kidney, Syngeneic, Open ApproachMedical and SurgicalUrinary SystemTransplantation
0TY10Z2Transplantation of Left Kidney, Zooplastic, Open ApproachMedical and SurgicalUrinary SystemTransplantation