icd-10-cm pcs code for allogenic bone marrow transplant ??

by Kacey Bradtke 8 min read

Bone marrow transplant status
Z94. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z94. 81 became effective on October 1, 2021.

Full Answer

What is the ICD-10 PCS code for bone marrow transplant?

The ICD-10-PCS code for this procedure is 07DR3ZX. The fourth character (R) identifies the body part as bone marrow, iliac.

What is the CPT code for allogenic bone marrow transplant?

Use procedure code 38240 to report the transplantation of allogeneic bone marrow.

What is allogenic bone marrow?

In an allogeneic bone marrow transplant, the healthy stem cells come from the bone marrow of a related donor who is not an identical twin of the patient or from an unrelated donor who is genetically similar to the patient.

What is the ICD-10 PCS code for autologous bone marrow transplant via peripheral vein?

30230G1Transfusion of Nonautologous Bone Marrow into Peripheral Vein, Open Approach30233G1Transfusion of Nonautologous Bone Marrow into Peripheral Vein, Percutaneous Approach30233X0Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach29 more rows

Can CPT code 38220 and 38221 be billed together?

CPT codes 38220 and 38221 may only be reported together if the two procedures are performed at separate and distinct sites, or at separate patient encounters. Separate sites include bone marrow aspiration and biopsy in different bones or with two separate skin incisions over the same bone.

What is procedure code 38241?

The Current Procedural Terminology (CPT®) code 38241 as maintained by American Medical Association, is a medical procedural code under the range - Transplantation and Post-Transplantation Cellular Infusion Procedures on the Hemic and Lymphatic Systems.

What does allogenic mean in transplant?

In an allogeneic transplant, a person's stem cells are replaced with new, healthy stem cells. The new cells come from a donor or from donated umbilical cord blood. Chemotherapy or a combination of chemotherapy and radiation therapy is given before the transplant.

What is allogenic bone graft?

Allogenic bone, or allograft, is bone obtained from a tissue bank, which has been processed and sterilized from a donor. Unlike autogenous bone, allogenic bone cannot produce new bone on it's own. It acts as a framework or scaffold, which allows your body to replace it with your own bone.

What are allogeneic transplants?

A procedure in which a patient receives healthy blood-forming cells (stem cells) from a donor to replace their own stem cells that have been destroyed by treatment with radiation or high doses of chemotherapy.

How does an autologous stem cell transplant work?

In an autologous transplant, your own blood-forming stem cells are collected. You are then treated with high doses of chemotherapy. The high-dose treatment kills the cancer cells, but it also gets rid of the blood-producing cells that are left in your bone marrow.

What is the ICD-10 code for GVHD?

ICD-10 code D89. 813 for Graft-versus-host disease, unspecified is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism .

What is the root operation for removal of a thrombus from an AV graft?

ExtirpationWhen a thrombus is removed from an AV fistula (all native tissue), the root operation of Extirpation is assigned because the thrombus is an abnormal byproduct of a bodily function which needs to be removed.

Root Operation Y: Transplantation

The definition for the Transplantation root operation provided in the 2014 ICD-10-PCS Reference Manual is "Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or function of all or a portion of a similar body part." The body part value represents the site of the transplantation.

Comparing ICD-9-CM and ICD-10-PCS: Transplantation

The following is an example of how ICD-9-CM and ICD-10-PCS compare in code assignment for Transplantation procedures.

Root Operation M: Reattachment

The definition for the root operation Reattachment provided in the 2014 ICD-10-PCS Reference Manual is, "Putting back in or on all or a portion of a separated body part to its normal location or other suitable location." Reattachment procedures include putting back a body part that has been cut off or avulsed.

Comparing ICD-9-CM and ICD-10-PCS: Reattachment

The following is an example of how ICD-9-CM and ICD-10-PCS compare in code assignment for Reattachment procedures.

ICD-10-PCS Coding Guidelines

Coding Guideline B3.16: Transplantation vs. Administration Putting in a mature and functioning living body part taken from another individual or animal is coded to the root operation Transplantation. Putting in autologous or nonautologous cells is coded to the Administration section.

Root Operation X: Transfer

The definition for the root operation Transfer provided in the 2014 ICD-10-PCS Reference Manual is, "Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part." In transfer procedures the body part remains connected to its vascular and nervous supply.

Comparing ICD-9-CM and ICD-10-PCS: Transfer

The following is an example of how ICD-9-CM and ICD-10-PCS compare in code assignment in a Transfer procedure.