(Medicare Claims Processing Manual)

MCE Interface   The MCE contains a limited coverage edit for liver transplant procedures using below ICD -10-CM codes if ICD-10-CM is applicable.    Nationally Covered Diagnosis Codes   Diagnosis  Code   Description  B16.0  Acute hepatitis B with delta -agent with hepatic coma  B16.1  Acute hepatitis B with delta -agent without hepatic coma  B16.2  Acute hepatitis B without delta -agent with hepatic coma  B16.9  Acute hepatitis B without delta -agent and without hepatic coma      B17.0  Acute delta -(super) infection of hepatitis B carrier  B17.10  Acute hepatitis C without hepatic coma  B17.11  Acute hepatitis C with hepatic coma  B17.2  Acute hepatitis E  B17.8  Other specified acute viral hepatitis  B17.9  Acute viral hepatitis, unspecified  B18.0  Chronic viral hepatitis B with delta -agent  B18.1  Chronic viral hepatitis B without delta -agent  B18.2  Chronic viral hepatitis C  B18.8  Other chronic viral hepatitis  B18.9  Chronic viral hepatitis, unspecified  B19.0  Unspecified viral hepatitis with hepatic coma  B19.10  Unspecified viral hepatitis B without hepatic coma  B19.11  Unspecified viral hepatitis B with hepatic coma  B19.20  Unspecified viral hepatitis C without hepatic coma  B19.21  Unspecified viral hepatitis C with hepatic coma  B19.9  Unspecified viral hepatitis without hepatic coma  C22.0  Liver cell carcinoma  E70.1  Other hyperphenylalaninemias  E70.20  Disorder of tyrosine metabolism, unspecified  E70.21  Tyrosinemia  E70.29  Other disorders of tyrosine metabolism  E70.30  Albinism, unspecified  E70.310  X-linked ocular albinism  E70.311  Autosomal recessive ocular albinism  E70.318  Other ocular albinism  E70.319  Ocular albinism, unspecified  E70.320  Tyrosinase negative oculocutaneous albinism  E70.321  Tyrosinase positive oculocutaneous albinism  E70.328  Other  oculocutaneous albinism  E70.329  Oculocutaneous albinism, unspecified  E70.330  Chediak -Higashi syndrome  E70.331  Hermansky -Pudlak syndrome  E70.338  Other albinism with hematologic abnormality  E70.339  Albinism with hematologic abnormality, unspecified  E70.39  Other specified albinism  E70.40  Disorders of histidine metabolism, unspecified  E70.41  Histidinemia  E70.49  Other disorders of histidine metabolism  E70.5  Disorders of tryptophan metabolism  E70.81  Aromatic L -amino acid decarboxylase deficiency  E70.89  Other disorders of aromatic amino -acid metabolism  E70.9  Disorder of aromatic amino -acid metabolism, unspecified  E71.0  Maple -syrup -urine disease  E71.110  Isovaleric acidemia  E71.111  3-methylglutaconic aciduria  E71.118  Other branched -chain organic acidurias  E71.120  Methylmalonic acidemia  E71.121  Propionic acidemia  E71.128  Other disorders of propionate metabolism  E71.19  Other disorders of branched -chain amino -acid metabolism  E71.2  Disorder of branched -chain amino -acid metabolism, unspecified  E71.30  Disorder of fatty -acid metabolism, unspecified  E71.310  Long chain/very long chain acyl CoA dehydrogenase deficiency  E71.311  Medium chain acyl CoA dehydrogenase deficiency  E71.312  Short chain acyl CoA dehydrogenase deficiency  E71.313  Glutaric aciduria type II  E71.314  Muscle carnitine palmitoyltransferase deficiency  E71.318  Other disorders of fatty -acid oxidation  E71.32  Disorders of ketone metabolism  E71.39  Other disorders of fatty-acid metabolism  E71.40  Disorder of carnitine metabolism, unspecified  E71.41  Primary carnitine deficiency  E71.42  Carnitine deficiency due to inborn errors of metabolism  E71.43  Iatrogenic carnitine deficiency  E71.440  Ruvalcaba -Myhre -Smith syndrome  E71.448  Other secondary carnitine deficiency  E71.50  Peroxisomal disorder, unspecified  E71.510  Zellweger syndrome  E71.511  Neonatal adrenoleukodystrophy  E71.518  Other disorders of peroxisome biogenesis  E71.520  Childhood cerebral X -linked adrenoleukodystrophy  E71.521  Adolescent X -linked adrenoleukodystrophy  E71.522  Adrenomyeloneuropathy  E71.528  Other X -linked adrenoleukodystrophy  E71.529  X-linked adrenoleukodystrophy, unspecified type  E71.53  Other group 2 peroxisomal disorders  E71.540  Rhizomelic chondrodysplasia punctata  E71.541  Zellweger -like syndrome  E71.542  Other group 3 peroxisomal disorders  E71.548  Other peroxisomal disorders  E72.00  Disorders of amino -acid transport, unspecified  E72.01  Cystinuria  E72.02  Hartnup's disease  E72.03  Lowe's syndrome  E72.04  Cystinosis  E72.09  Other disorders of amino -acid transport  E72.10  Disorders of sulfur -bearing amino -acid metabolism, unspecified  E72.11  Homocystinuria  E72.12  Methylenetetrahydrofolate reductase deficiency  E72.19  Other disorders of sulfur -bearing amino -acid metabolism  E72.20  Disorder of urea cycle metabolism, unspecified  E72.21  Argininemia  E72.22  Arginosuccinic aciduria  E72.23  Citrullinemia  E72.29  Other disorders of urea cycle metabolism  E72.3  Disorders of lysine and hydroxylysine metabolism  E72.4  Disorders of ornithine metabolism  E72.50  Disorder of glycine metabolism, unspecified  E72.51  Non-ketotic  hyperglycinemia  E72.52  Trimethylaminuria  E72.53  Primary hyperoxaluria  E72.59  Other disorders of glycine metabolism  E72.81  Disorders of gamma aminobutyric acid  E72.89  Other specified disorders of amino -acid metabolism  E72.9  Disorder of amino -acid metabolism, unspecified  E80.0  Hereditary erythropoietic porphyria  E80.29  Other porphyria  E83.00  Disorder of copper metabolism, unspecified  E83.01  Wilson's disease  E83.09  Other disorders of copper metabolism  E83.110  Hereditary hemochromatosis  E83.111  Hemochromatosis due to repeated red blood cell transfusions  E83.118  Other hemochromatosis  E83.119  Hemochromatosis, unspecified  E85.0  Non-neuropathic heredofamilial amyloidosis  E85.1  Neuropathic heredofamilial  amyloidosis  E85.2  Heredofamilial amyloidosis, unspecified  E85.3  Secondary systemic amyloidosis  E85.4  Organ -limited amyloidosis  E85.89  Other amyloidosis  E88.01  Alpha -1-antitrypsin deficiency  E88.02  Plasminogen deficiency  I82.0  Budd -Chiari syndrome  K70.0  Alcoholic fatty liver  K70.10  Alcoholic hepatitis without ascites  K70.11  Alcoholic hepatitis with ascites  K70.2  Alcoholic fibrosis and sclerosis of liver  K70.30  Alcoholic cirrhosis of liver without ascites  K70.31  Alcoholic cirrhosis of liver with ascites  K70.40  Alcoholic hepatic failure without coma  K70.41  Alcoholic hepatic failure with coma  K70.9  Alcoholic liver disease, unspecified  K71.0  Toxic liver disease with cholestasis  K71.10  Toxic liver disease with hepatic necrosis, without coma  K71.11  Toxic liver disease with hepatic necrosis, with coma  K71.2  Toxic liver disease with acute hepatitis  K71.3  Toxic liver disease with chronic persistent hepatitis  K71.4  Toxic liver disease with chronic lobular hepatitis  K71.50  Toxic liver disease with chronic active hepatitis without ascites  K71.51  Toxic liver disease with chronic active hepatitis with ascites  K71.6  Toxic liver disease with hepatitis, not elsewhere classified  K71.7  Toxic liver disease with fibrosis and cirrhosis of liver  K71.8  Toxic liver disease with other disorders of liver  K72.00  Acute and subacute hepatic failure without coma  K72.01  Acute and subacute hepatic failure with coma  K72.10  Chronic hepatic failure without coma  K72.11  Chronic hepatic failure with coma  K72.90  Hepatic failure, unspecified without coma  K72.91  Hepatic failure, unspecified with coma  K73.1  Chronic lobular hepatitis, not elsewhere classified  K73.2  Chronic active hepatitis, not elsewhere classified  K73.8  Other chronic hepatitis, not elsewhere classified  K73.9  Chronic hepatitis, unspecified  K74.01  Hepatic fibrosis, early fibrosis  K74.02  Hepatic fibrosis, advanced fibrosis  K74.1  Hepatic sclerosis  K74.2  Hepatic fibrosis with hepatic sclerosis  K74.3  Primary biliary cirrhosis  K74.4  Secondary biliary cirrhosis  K74.5  Biliary cirrhosis, unspecified  K74.60  Unspecified cirrhosis of liver  K74.69  Other cirrhosis of liver  K75.0  Abscess of liver  K75.1  Phlebitis of portal vein  K75.2  Nonspecific reactive hepatitis  K75.3  Granulomatous hepatitis, not elsewhere classified  K75.4  Autoimmune hepatitis  K75.81  Nonalcoholic steatohepatitis (NASH)  K75.89  Other specified inflammatory liver diseases  K75.9  Inflammatory liver disease, unspecified  K76.0  Fatty (change of) liver, not elsewhere classified  K76.1  Chronic passive congestion of liver  K76.2  Central hemorrhagic necrosis of liver  K76.3  Infarction of liver  K76.4  Peliosis hepatis  K76.5  Hepatic veno -occlusive disease  K76.6  Portal hypertension  K76.7  Hepatorenal syndrome  K76.81  Hepatopulmonary syndrome  K76.89  Other specified diseases of liver  K77 Liver disorders in diseases classified elsewhere  K83.01  Primary sclerosing cholangitis  K83.09  Other  cholangitis  K83.1  Obstruction of bile duct  K83.5  Biliary cyst  K83.8  Other specified diseases of biliary tract  K83.9  Disease of biliary tract, unspecified  K91.82  Postprocedural hepatic failure  Q44.1  Other congenital malformations of gallbladder  Q44.2  Atresia of bile ducts  Q44.3  Congenital stenosis and stricture of bile ducts  Q44.4  Choledochal cyst  Q44.6  Cystic disease of liver  T86.40  Unspecified complication of liver transplant  T86.41  Liver transplant rejection  T86.42  Liver transplant failure  T86.43  Liver transplant infection  T86.49  Other complications of liver transplant   Local Discretion Covered Diagnosis Codes   C24.0  Malignant neoplasm of extrahepatic bile duct  C7B.02  Secondary carcinoid tumors of liver  D37.6  Neoplasm of uncertain behavior of liver, gallbladder and bile ducts   Nationally NON -Covered Diagnosis Codes