2018/2019 ICD-10-CM Diagnosis Code Z94.0. Kidney transplant status. 2016 2017 2018 2019 Billable/Specific Code POA Exempt. Z94.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Severe chronic kidney failure with hypertension (htn) on dialysis ICD-10-CM I12.0 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 008 Simultaneous pancreas and kidney transplant 019 Simultaneous pancreas and kidney transplant with hemodialysis
A: When the ATN is of the transplanted kidney then this would be coded as a complication of the transplant followed by the code for the type of acute kidney injury.
Kidney Transplant Dx. Coding. Kidney transplantation is a treatment option for most patients with End Stage Renal Disease (ESRD). The procedure may be deceased-donor (cadaveric) or living-donor transplantation. Living-donor renal transplants may be genetically related (living-related) or non-related (living-unrelated) transplants.
ICD-10 Code for Hypertension secondary to other renal disorders- I15. 1- Codify by AAPC.
ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.
ICD-10 requires first using an I12 code for the combined diagnosis of hypertension and chronic kidney disease: I12.
A kidney transplant may not fully restore kidney function; therefore, patients who have undergone a kidney transplant may still have some form of Chronic Kidney Disease. Code Z94. 0, Kidney replaced by transplant, may be assigned with the appropriate CKD code, based on the patient's post-transplant stage.
In ICD-10, the diagnosis codes are simplified and the hypertension table is no longer necessary. The concept of controlled and uncontrolled are not a part of the coding choice, although good clinical documentation should include the status of the patient and the type of hypertension being treated.
401.9 - Unspecified essential hypertension | ICD-10-CM.
Hypertension described as benign, malignant, controlled, uncontrolled, and primary would be coded here unless it belongs in another category code. A condition of elevated blood pressure without a diagnosis of hypertension is classified to code R03.
uncontrolled hypertension. Code I10 for HTN is assigned when HTN is described as essential, benign or malignant as well as when HTN is not otherwise specified (NOS). hypertensive heart disease: I11. 0 (with heart failure) and I11.
For hypertension documented as accelerated or malignant (not hypertensive crisis, urgency, or emergency), look to category I10 Essential (primary) hypertension. ICD-10-CM instructions tell us when reporting from category I16, we should, “Code also any identified hypertensive disease (I10-I15).
ICD-10 code Z94. 0 for Kidney transplant status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Coders should pay special attention to this diagnosis because the physician may be indicating a past history of ESRD. The kidney transplantation was initially performed to improve the patient's kidney function, and it would be unlikely that patient would still have ESRD.
ICD-10-CM Code for Kidney transplant failure T86. 12.
When kidneys cease to filter wastes and extra fluid from the bloodstream, renal failure is considered to be permanent and consideration must be given to hemodialysis and/or kidney transplantation. A common complication of kidney transplant is rejection of the transplanted organ.
Kidney transplantation is a treatment option for most patients with End Stage Renal Disease (ESRD). The procedure may be deceased-donor (cadaveric) or living-donor transplantation. Living-donor renal transplants may be genetically related (living-related) or non-related (living-unrelated) transplants.
A kidney transplant may not fully restore function to the kidney, and some residual kidney disease could be present. Without the link provided by the physician, coders should report V42.7 with an additional code for the CKD. Physicians may also document in the medical record of the post-kidney transplant recipient ESRD.
Therefore, the presence of CKD alone does not constitute transplant complication. Assign the appropriate N18 code for the patient’s CKD and code Z94.0, kidney transplant status.
How about T86.19? Short description: "Other complication of kidney transplant." Long description:#N#"Acute graft versus host disease due to kidney transplant; Acute on chronic graft versus host disease due to kidney transplant; Chronic graft versus host disease due to kidney transplant; Graft versus host disease due to kidney transplant; Hypertension due to renal transplant; Hypertension secondary to kidney transplant; Malignant neoplasm associated with kidney transplant; Post kidney transplant lymphoproliferative disord; Post kidney transplant lymphoproliferative disorder; Post kidney transplant neoplasia"#N#That would be if the transplant caused or partially caused the hypertension.#N#If it was preexisting as you suggest, I'd go with your normal hypertension code and a renal transplant status code, like Z94.0.
Per the 2019 ICD-10 manual (page 16), "patients who have undergone kidney transplants may still have some form CKD because the kidney transplant may not fully restore kidney function.". Therefore, the answer to your question would be on a case by case basis.