Wiki Coding removal and transplant status codes.

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Code: Z90.5
Acquired absence of kidney
Parent Code Notes: Z90
Excludes1: congenital absence - see Alphabetical Index
Excludes2: postprocedural absence of endocrine glands (E89.-)
Includes: postprocedural or post-traumatic loss of body part NEC

Category Notes
Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Code also any follow-up examination (Z08-Z09)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: 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.
Best answers
Hi Coders,

Is it possible that I should code both removal and transplant code for the same organ together in the same chart.

For example,1. if a patient has undergone Nephrectomy and then kidney transplant afterwards. Do I need to code both Z90.5 and Z94.0?
2. If a woman has undergone right Mastectomy followed by reconstruction for the same. Do I need to code Z90.11 and Z98.89?

Best answers
Transplant can't be done without removing the existing one or unless there is an absence of the kidney... So only you needed to code Transplant status code only, it means there was an absence of that organ.