Z94.3

Billable

Heart and lungs transplant status

Chapter 21: Factors influencing health status and contact with health services

Additional Information

From parent codes: Z00-Z99 (Chapter 21)

NotesFrom Z00-Z99

Additional notes from parent codes that apply to this code.

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Inpatient DRG Payments

DRG 31425,543 discharges

Other Circulatory System Diagnoses With Mcc

Avg. Medicare Payment

$17,602

Total Payment$21,323
Patient Responsibility$3,721
Hospital Charge$99,413
DRG 3158,781 discharges

Other Circulatory System Diagnoses With Cc

Avg. Medicare Payment

$7,710

Total Payment$10,367
Patient Responsibility$2,657
Hospital Charge$52,030
DRG 31625 discharges

Other Circulatory System Diagnoses Without Cc/mcc

Avg. Medicare Payment

$5,578

Total Payment$7,470
Patient Responsibility$1,892
Hospital Charge$46,733