Kidney Transplant Coding Guidelines: Difference between revisions
Ttenbergen (talk | contribs) m →CMV+ or EBV+ donors or recipients: true for all transplants, so moving this to Template:ICD10 Guideline Transplant Failure |
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* [[Organ transplant candidate (waiting for organ)]] | * [[Organ transplant candidate (waiting for organ)]] | ||
* Almost (if not all) patients will have a [[Comorbid Diagnosis]] of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]. Rarely, a patient will have a transplant prior to ever being dialyzed. These patients would still be considered Stage 5, unless their GFR is greater than 15, in which case, use the chronic kidney disease code that corresponds to their GFR. | * Almost (if not all) patients will have a [[Comorbid Diagnosis]] of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]. Rarely, a patient will have a transplant prior to ever being dialyzed. These patients would still be considered Stage 5, unless their GFR is greater than 15, in which case, use the chronic kidney disease code that corresponds to their GFR. | ||
* Most transplant patients are coming from home, so [[Previous Location]] will be "home" | * Most transplant patients are coming from home, so [[Previous Location]] will be "home" | ||
=== Patient receiving transplant during this admission === | === Patient receiving transplant during this admission === | ||
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* This Code will be linked with [[Organ transplant candidate (waiting for organ)]] | * This Code will be linked with [[Organ transplant candidate (waiting for organ)]] | ||
====CCI coding==== | ====CCI coding==== | ||
*'''Transplant is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an | *'''[[Transplant]] is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an [[Admit Procedure]] . This allows you to code the ARF codes without getting an error. | ||
*Often, admitted patients will receive a peritoneal or hemodialysis treatment prior to surgery. In this case, code this as an | *Often, admitted patients will receive a peritoneal dialysis ([[Peritoneal dialysis (TISS Item)|Peritoneal dialysis]]) or hemodialysis ([[Intermittent hemodialysis (TISS Item)]] treatment prior to surgery. In this case, code this as an [[Acquired Procedure]]. If the patient requires a hemodialysis treatment post transplant as well, this will not be captured in the CCI, as we only code the first dialysis treatment during the hospitalization. | ||
*To code the actual transplant (usually will be as an | *To code the actual transplant (usually will be as an [[Acquired Procedure]], unless they are coming to your ward post-op), use [[(T) Kidney]] - [[Transplant]]. As part of the procedure, patients will also have a ureteric stent placed. This is routine, and does not need to be coded as a CCI. If a [[Biopsy (non-endoscopic)|Biopsy]] of the kidney is done during the procedure, code this as [[(D) Kidney]], combined with [[Biopsy (non-endoscopic)|Biopsy]]. If a biopsy is done, it will usually be indicated in the OR's print out summary. | ||
==== Should [[Past history, transplanted kidney]] be coded during transplant admission ==== | ==== Should [[Past history, transplanted kidney]] be coded during transplant admission ==== | ||