Z48.280Encounter for aftercare following heart-lung transplant

Z48.280 is the ICD-10-CM diagnosis code for encounter for aftercare following heart-lung transplant. It belongs to category Z48 (encounter for other postprocedural aftercare), block Z40-Z53 (Encounters for other specific health care) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z48.28 (encounter for aftercare following multiple organ transplant), Z48.280 is specifically for encounter for aftercare following heart-lung transplant. Related codes cover multiple organ transplant (Z48.288).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V42.1 (heart replaced by transplant), V42.6 (lung replaced by transplant) and V58.44 (aftercare following organ transplant).