If ICD-10 is applicable, the following procedure codes (ICD-10-PCS) are:
• 0FYG0Z0 Transplantation of Pancreas, Allogeneic, Open Approach
• 0FYG0Z1 Transplantation of Pancreas, Syngeneic, Open Approach
Pancreas transplantation is reasonable and necessary for the following diagnosis codes.
However, since this is not an all-inclusive list, the contractor is permitted to determine if
any additional diagnosis codes will be covered for this procedure.
If ICD-9-CM is applicable, Diabetes Diagnosis Codes and Descriptions
ICD-9-
CM
Code
Description
250.00 Diabetes mellitus without mention of complication, type II (non-insulin
dependent) (NIDDM) (adult onset) or unspecified type, not stated as
uncontrolled.
250.01 Diabetes mellitus without mention of complication, type I (insulin
dependent) (IDDM) (juvenile), not stated as uncontrolled.
250.02 Diabetes mellitus without mention of complication, type II (non-insulin
dependent) (NIDDM) (adult onset) or unspecified type, uncontrolled.
250.03 Diabetes mellitus without mention of complication, type I (insulin
dependent) (IDDM) (juvenile), uncontrolled.
250.1X Diabetes with ketoacidosis
250.2X Diabetes with hyperosmolarity
250.3X Diabetes with coma
