2026 ICD-10-CM Diagnosis Code Z94.5Skin transplant status

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z94

ICD-10-CM Z94.5
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z94.5 is a billable ICD-10-CM diagnosis code for skin transplant status. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as H/O: skin recipient. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Organ transplant status.

Code Identity

ICD-10-CM Code
Z94.5
Billable Status
Yes — Valid for Submission
Code Describes
Skin transplant status
Short Description
Skin transplant status
Same as the full description in the CMS dataset.
Parent Code
Z94
Transplanted organ and tissue status

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ94Transplanted organ and tissue status
This CodeZ94.5Skin transplant status

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z94.5.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z94.5 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • H/O: skin recipient
  • Transplanted skin present

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Autogenous skin transplant status

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Transplant(ed) (status)
      • skin

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC023
Organ transplant status
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z94.5 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V42.3 Skin transplant status
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z94.5Overview

Is Z94.5 (Transplanted organ and tissue status) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report skin transplant status on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z94.5 group to?

On inpatient claims, skin transplant status maps to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.

Can Z94.5 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because skin transplant status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z94.5 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for skin transplant status on inpatient claims.

What is the ICD-9 equivalent of Z94.5?

Under the General Equivalence Mappings, skin transplant status converts to ICD-9-CM V42.3 (skin transplant status). The mapping is a direct match.