Past history, transplanted kidney: Difference between revisions

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{{ICD10 dx
{{ICD10 dx
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{{ICD10 category|Past medical history}}{{ICD10 category|Renal/urinary}} {{ICD10 category|Transplant}}
{{ICD10 category|Past medical history}}{{ICD10 category|Renal/urinary}}{{ICD10 category|Transplant}}


== Additional Info ==
== Additional Info ==
===Regarding the transplant, and ESRD===
{{Kidney Transplant Coding Guidelines}}
*Use this code to indicate that the person has had a kidney transplant PRIOR to the current database record, and that it is functioning.
**Need this because there's no other code for that -- i.e. they don't have either ESRD or acute renal failure.
**The transplant doesn't need to be functioning perfectly, so this code could co-exist with any of the acute renal failure or chronic renal failure codes (except for ESRD), see below.
*If you use this code, do NOT also code the ESRD that was the reason the person got the kidney 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.


===How to use this in regard to patient moving through their hospital admission===
{{ICD10 Guideline Past medical history}}
*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.


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
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*[[Kidney, acute tubular necrosis (ATN)]]
*[[Kidney, acute tubular necrosis (ATN)]]
*[[Prerenal uremia/state]]
*[[Prerenal uremia/state]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 1]]
*[[Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 2]]
*[[Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 3]]
*[[Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 4]]
*[[Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29]]


== Related CCI Codes ==
== Related CCI Codes ==
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* [[(T) Kidney]]
* [[(T) Kidney]]
* [[Transplant]]
* [[Transplant]]
{{Data Integrity Check List}}


== Related Articles ==
== Related Articles ==

Latest revision as of 15:50, 2020 July 3

ICD10 Diagnosis
Dx: Past history, transplanted kidney
ICD10 code: Z94.0
Pre-ICD10 counterpart: none assigned
Charlson/ALERT Scale: Renal disease
APACHE Como Component: Immunocompromised
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • Z94.0
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
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  • Categories
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  • Categories

Additional Info

Kidney Transplant Coding Guidelines

For general coding information in the context of kidney transplants see Kidney Transplant Coding Guidelines. This includes how to code patients before, during and after their transplant admission.


Past medical history codes

Past medical history codes should only be captured as Comorbid Diagnoses that represent previous procedures or medical situations. Their names usually follow the pattern "Past history of X" or "X, has one". See Category:Past medical history for a list.

Alternate ICD10s to consider coding instead or in addition

Other transplant codes:

Transplant codes:

Candidate Combined ICD10 codes

Related CCI Codes

If the transplant happened during this admission and not as past history, code the following CCI instead:

Data Integrity Checks (automatic list)

 AppStatus
Query check_ICD10_ESRD_vs_kidney_transplantCCMDB.accdbimplemented

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