Past history, transplanted kidney: Difference between revisions

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m Text replacement - "== Alternate ICD10s to consider coding instead or in addition ==" to "{{ICD10 Guideline Past medical history}} == Alternate ICD10s to consider coding instead or in addition =="
 
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{{Kidney Transplant Coding Guidelines}}
{{Kidney Transplant Coding Guidelines}}


===How to use this in regard to patient moving through their hospital admission===
{{ICD10 Guideline Past medical history}}
*These notes are to resolve possible ambiguity for the situation where the patient received the transplant during the current hospitalization.
*Of course if the transplant occurred during a prior hospitalization, then this code can be used.
*But what about if the transplant was done during the current hospitalization, and they move from place to place within the hospital?
**If the person was admitted to the service directly after the transplant surgery, this code isn't used.  For example, patient came in for elective transplant, had it, and came directly to SICU.  In that case the SICU database record would have ESRD as an admitting diagnosis, and the transplant would be indicated by a CCI procedure code for it.  So the SICU database record would not list [[Past history, transplanted kidney]].
**Continuing that example, after SICU the person routinely went to the ward for further routine postop convalesence, then again ESRD is an admitting diagnosis, and the transplant would be indicated by a CCI procedure code for it.  So again this ward database record would not list [[Past history, transplanted kidney]]. 
**But, if the person was in SICU post-transplant, then went to a surgery ward where they developed new problem such as DKA, and was then transferred to your Medicine ward, in '''that''' case it would be appropriate to code '''[[Past history, transplanted kidney]]'''.
***So in brief, if a person had the kidney transplant during the current hospitalization, you'd only code '''[[Past history, transplanted kidney]]''' in the current database record if the reason for being admitted to your unit (ward or ICU) was a different problem, i.e. not the kidney transplant.


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==

Latest revision as of 15:50, 3 July 2020

ICD10 Diagnosis
Dx: Past history, transplanted kidney
ICD10 code: Z94.0
Pre-ICD10 counterpart: none assigned
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements): No results
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • Z94.0
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
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  • Categories

Additional Info

Kidney Transplant Coding Guidelines

For general coding information in the context of kidney transplants see Kidney Transplant Coding Guidelines. This includes how to code patients before, during and after their transplant admission.


Past medical history codes

Past medical history codes should only be captured as Comorbid Diagnoses that represent previous procedures or medical situations. Their names usually follow the pattern "Past history of X" or "X, has one". See Category:Past medical history for a list.

Alternate ICD10s to consider coding instead or in addition

Other transplant codes:

Transplant codes:

Candidate Combined ICD10 codes

If the transplant happened during this admission and not as past history, code the following CCI instead:

Data Integrity Checks (automatic list)

none found

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