Heart transplant, failure or rejection or unspecified complication
| ICD10 Diagnosis | |
| Dx: | Heart transplant, failure or rejection or unspecified complication |
| ICD10 code: | T86.2 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | Immunocompromised |
| 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.
Additional Info
Transplant failure or rejection or unspecified complication guideline
- This code includes transplant rejection, transplant failure (primary or subsequently), and others problems with the transplanted organ itself.
- For example if the transplanted organ gets into trouble from Graft-versus-host disease/reaction (GVHD) then you should combine that code with this code.
- This code can be used for the whole range of problems with a transplanted organ -- of any severity (mild dysfunction up to total loss of the transplant) and of any duration (temporary or permanent).
- https://en.wikipedia.org/wiki/Transplant_rejection
- If you use this code, you should also code the relevant past history code for the transplant, if applicable, i.e. if the pt would have qualified for that code if the transplant had not failed.
Prophylactic treatment does not indicate infection ( CMV+ or EBV+ donors or recipients)
- We are NOT coding anything having to do with the Cytomegalovirus (CMV) or EBV or Mycobacterium Tuberculosis or Urinary tract infection, NOS or Hepatitis C, chronic status of the donor.
- Accordingly, do not code a transplant recipient as infected or colonized with such organisms, but of course DO code them as infected with them IF THEY BECOME INFECTED WITH THEM -- which is not indicated just by the recipient being prophylactically treated for them after the transplant.
- As per Colonized with organism (not infected), we are not tracking colonization with either of these viruses.
How past data was back populated
| click expand to see content |
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(based on 27June2022 meeting of Allan and Julie, completed by Pagasa as per email from 2022-08-26)
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Specific to Heart transplant rejection
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is the following actually specfic to heart transplants? If not, it should be moved into Template:ICD10 Guideline Transplant Failure so it will show in all the transplant failure pages. |
- The most common type of heart transplant rejection is called acute cellular rejection. This happens when your T-cells (part of your immune system) attack the cells of your new heart. It happens most often in the first 3 to 6 months after transplant.
Humoral rejection is a less common type. It’s also known as acute antibody rejection. It can develop during the first month after transplantation. Or it can happen as late as months to years after transplant. With humoral rejection, antibodies injure the blood vessels in your body, including your coronary arteries. This can cause problems with blood flow to the heart.
Heart transplant rejection can also be chronic. Coronary artery vasculopathy is a form of chronic rejection. It affects the coronary arteries. These supply the heart muscle with oxygen and nutrients. In coronary artery vasculopathy, the inner lining of the blood vessel thickens.
Alternate ICD10s to consider coding instead or in addition
Other transplant codes:
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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