Template:ICD10 Guideline Transplant Failure

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

To use:

{{ICD10 Guideline Transplant Failure}}

We used to not code the past history of transplant if there was a failure because this would be implied. We discussed at Task 2022-05-04 that we should not code it, and that we should consider back-populating this. We will need to decide how. Ttenbergen 12:21, 2022 May 4 (CDT)

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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 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.