Past history, transplanted kidney
| 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.
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Tina will ensure that the error trapping in place allows an individual to have ESRD as a comorbid and AKI in the same record only if the person also has a CCI code for the kidney transplant OR has the ICD10 code of Past history, transplanted kidney. |
Additional Info
How to use this in regard to patient moving through their hospital admission
- 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.
Kidney transplant vs ESRD
- If the patient has a Past history, transplanted kidney, do not also code the Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 that occurred in the native kidneys, which was the reason for the transplant because having had ESRD is implied in having had a kidney transplant.
- Exception: If the transplanted kidney has completely failed (e.g. the patient is back on dialysis), then do also code: Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, because now it applies to the transplanted kidney. Also code Kidney transplant, failure or rejection or unspecified complication.
Alternate ICD10s to consider coding instead or in addition
Other transplant codes:
| Transplant codes: |
Candidate Combined ICD10 codes
- Kidney, acute renal failure NOS
- Kidney, acute tubular necrosis (ATN)
- Prerenal uremia/state
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4
Related CCI Codes
If the transplant happened during this admission and not as past history, code the following CCI instead:
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