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

The Medicare Code Editor (MCE) detects and reports errors in the coding claims data. The following 10 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.