Organ donor (organ/tissue donation by the donor)

ICD10 Diagnosis
Dx:	Organ donor (organ/tissue donation by the donor)
ICD10 code:	Z52
Pre-ICD10 counterpart:	Organ Donor
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • Z52

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Additional Info

This code is NOT intended for the RECIPIENT of the transplant, use codes in [[:]] for that.

link problem

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• Organ donors can be dead or alive.
• We only want to code this for major organ donations, i.e. not cornea, skin or bones.
• This code is for the donor, not recepients of transplanted organs.
• For a live donor (e.g. man giving a kidney to his sister) this can be (and virtually always WILL be) an admit diagnosis.
• For a braindead donor, or a DCD (donation after cardiac death = almost dead in ICU but decision made to donate by taking patient or OR, removing life support until dead, then harvest organs) it almost always will be an acquired diagnosis. For those the date of that acquired diagnosis should be.... we still need to decide, see: Deceased patients.

What date in the Acquired Diagnosis do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date? These patients go to a different ward after transplant, right? So we would likely not currently track the CCI for this. Maybe transplants are something we should track if they are at the end of stay. I'll flag this for Allan.

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Deceased organ donors

We will not have a separate code for cadaver donations. Instead also code the following as appropriate

• After brain death: Brain death
• Donation after Medical Assistance in Dying (MAID) -- where a person who undergoes MAID has made arrangements in advance for organ harvesting after death.

We do not have a special code for:

• Donation after cardiac death (DCD) -- where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room.

Some organ donors have a bronchscopy done, but not all do, so don't automatically assume and code it. The only time it is done is if there are considering the lungs. This is according to a Respirologist from STB ICU.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

• Brain death
• Sudden cardiac death (and died)
• MAID

Related CCI Codes

If a braindead person goes to OR to harvest organs, then that procedures, just code this code, even though the code happens after they leave the unit. They do need to be coded for live donors.

• Procure, Harvest, Obtain for Further Use

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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