Template:ICD10 Guideline Kidney transplant vs ESRD

Kidney transplant vs ESRD

• If you use this code, do NOT also code the ESRD that occurred in the native kidneys, which was the reason for the transplant (i.e. Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5), because having had ESRD is implicit in having had a kidney transplant.
• BUT if the transplanted kidney has completely failed (e.g. the patient is back on dialysis), then you should also code: Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, because now it applies to the transplanted kidney.

• please also see Renal Coding Considerations for ICD10

Acute or Chronic Renal problems in patient with Renal Transplant Failure

• If a kidney transplant has failed, then code Kidney transplant, failure or rejection or unspecified complication AND it's OK to also code acute or chronic renal condition, as appropriate.

Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or Renal Transplant - Removal of Transplant-Organ and requires dialysis, they can have acquired diagnoses of ARF (Diagnosis), Acute Tubular Necrosis (ATN) and/or ARI, which is related to their new donor kidney.