2026 ICD-10-CM Diagnosis Code Z94.81Bone marrow transplant status
Z94.81 is a billable ICD-10-CM diagnosis code for bone marrow transplant status. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 814 through 816. 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 bone marrow transplant present. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Organ transplant status.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z94.81.
Present on Admission (POA)Billing
Z94.81 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.
- Bone marrow transplant present
- Growth hormone deficiency after bone marrow transplant
- History of allotransplantation of bone marrow
- History of autologous bone marrow transplant
- History of bone marrow transplant
- Hypopituitarism following procedure
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)
- bone
- marrow
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bone Marrow Transplantation
Bone marrow is the spongy tissue inside some of your bones, such as your hip and thigh bones. It contains immature cells, called stem cells. The stem cells can develop into red blood cells, which carry oxygen throughout the body, white blood cells, which fight infections, and platelets, which help the blood to clot.
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Convert Z94.81 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z94.81Overview
Is Z94.81 (Other transplanted organ and tissue status) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report bone marrow transplant status on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does Z94.81 group to?
On inpatient claims, bone marrow transplant status maps to MS-DRG 814, 815, 816, with relative weights from 0.6320 to 2.1267 depending on complications. Higher weights mean higher Medicare reimbursement.
Can Z94.81 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because bone marrow transplant status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z94.81 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 bone marrow transplant status on inpatient claims.
What is the ICD-9 equivalent of Z94.81?
Under the General Equivalence Mappings, bone marrow transplant status converts to ICD-9-CM V42.81 (trnspl status-bne marrow). The mapping is approximate, so confirm the match fits the documentation.
