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ICD-10-CM D47.Z1: Post-transplant lymphoproliferative disorder (PTLD)

D47.Z1 is the billable ICD-10-CM code for post-transplant lymphoproliferative disorder (PTLD), in category D47 (Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue) of the Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes section. As a principal diagnosis it groups to MS-DRG 919 Complications of Treatment with MCC, MS-DRG 920 Complications of Treatment with CC, MS-DRG 921 Complications of Treatment without CC/MCC (MDC 21 MDC 21: Injuries, Poisonings and Toxic Effects of Drugs). It maps to HCC 21 (Lymphoma and Other Cancers) in CMS-HCC V28. As a secondary diagnosis it is a CC, excluded with 52 principal diagnoses. 15 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
D47.Z1
billable FY2027 ICD-10-CM code
Category
D47 Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
Chapter
2: Neoplasms (C00-D49)
CC/MCC (MS-DRG v44)
CC
CMS-HCC V28
HCC 21
POA reporting
Required

Tabular list notes for D47.Z1

The tabular list has no notes on D47.Z1 itself; the notes below apply from its parent headings.

MS-DRG grouping when D47.Z1 is the principal diagnosis

MS-DRG v44 groups for D47.Z1 as principal diagnosis
MDCMS-DRGs
21 MDC 21: Injuries, Poisonings and Toxic Effects of Drugs919920921

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for D47.Z1 shows the full grouping logic.

CC/MCC status and inpatient edits

As a secondary diagnosis, D47.Z1 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 52 codes in its exclusion list. Check D47.Z1 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.
  • Medicare Code Editor: unacceptable principal diagnosis.

CMS-HCC V28 risk adjustment

In the PY2027 mapping, D47.Z1 maps to HCC 21 (Lymphoma and Other Cancers). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list D47.Z1

15 current Medicare billing and coding articles list D47.Z1 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM D47.Z1 mean?

D47.Z1 means post-transplant lymphoproliferative disorder (PTLD). It is one of 11 billable codes under D47, other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue.

Which MS-DRG does D47.Z1 group to?

As the principal diagnosis, D47.Z1 groups to MS-DRG 919 Complications of Treatment with MCC, MS-DRG 920 Complications of Treatment with CC, MS-DRG 921 Complications of Treatment without CC/MCC (MDC 21 MDC 21: Injuries, Poisonings and Toxic Effects of Drugs) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Does D47.Z1 map to an HCC?

Yes: HCC 21, Lymphoma and Other Cancers, in the PY2027 CMS-HCC V28 mapping.

Is D47.Z1 a CC or MCC?

D47.Z1 is a CC under MS-DRG v44; 52 principal diagnoses exclude it.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.