AHA Coding Clinic® for ICD-9 - 2008 Issue 2; Ask the Editor

Domino Liver Transplant Secondary to Familial Amyloidosis Polyneuropathy (FAP)

The patient is a 61-year-old man who was diagnosed with familial amyloidosis polyneuropathy. Because of the gradual increase in the severity of his disease, he underwent liver transplantation. Since his liver function was good with no cirrhosis, the decision was made to transplant his explanted liver into another patient. The physician used the term “domino liver transplant” to reflect the chain of events occurring during transplantation. A new liver from a live nonrelated donor was transplanted and the patient’s old liver was removed for donation. Can code V59.6, Donors, liver, be reported to capture the fact that the patient was a recipient and also a donor? The physicians believe this information is important to describe the entire episode of patient care. ...

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