Template:ICD10 Guideline Transplant Failure

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This template is used in "* transplant, failure or rejection or unspecified complication" pages to give consistent instructions.

To use:

{{ICD10 Guideline Transplant Failure}}

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.
  • 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 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 to back populate the past data (based on 27June2022 meeting of Allan and Julie)

  • if an organ transplant failure or rejection code occurs in Admit, add this organ past history Transplant code in comorbid.
  • if an organ transplant failure or rejection code occurs in Acquired, follow below:
    • if there is a CCI code of transplant present (implying the transplant happens in this admission) or old coding of transplant present (prior Jan 1, 2019), then DO NOT enter this organ past history Transplant code in comorbid.
    • if there is NO CCI code of transplant present (implying NO transplant happens in this admission) or NO old coding of transplant present (prior Jan 1, 2019), then enter this organ past history Transplant code in comorbid.
  • if an organ transplant failure or rejection code occurs in Comorbid, add this organ past history Transplant code in comorbid.
  • ICD10 Transplant Failure or rejection codes - T86.000 (bone marrow), T86.1 (kidney), T86.2 (heart), T86.3 (heart-lung), T86.4 (liver), T86.80 (lung), T86.81 (pancreas), T86.88 (NOS)
  • ICD10 Past History Transplant - Z94.0(kidney), Z94.1(heart), Z94.2 (lung), Z94.4 (liver), Z94.80 (bone marrow) , Z94.82 (pancreas), Z94.88 (NOS)
  • CCI Transplant codes - 1.WY.19 (Bone marrow), 1.PC.85 (kidney), 1.HZ.85 (heart), 1.OA.85 (liver), 1.GT.85 (lung), 1.OJ.85 (pancreas)
  • Old Coding Dx transplant failed or rejection - 29.01 (post lung), 361.01 or 805.02 or 805.03 (Renal), 429.01 (liver), 430.01(pancreas).766.01 (heart)
  • Old Coding Dx transplant - 29.00 (post lung), 361.00 or 805.00 (Renal), 429.00 (liver), 430.00 (pancreas).766.00 (heart), 781.00 (lung), 851.00 (BMT)