AHA Coding Clinic® for ICD-9 - 2011 Issue 2; Ask the Editor

Delayed Graft Function Following Kidney Transplant

The patient, a 40-year-old man with end stage kidney disease due to a congenital anomaly of the urinary tract, underwent deceased donor renal transplantation. Since patient and donor were both positive for cytomegalovirus (CMV), the patient was at an intermediate risk for CMV reactivation. Post-operatively he had persistent severe hyperkalemia which required hemodialysis. The patient also experienced delayed graft function and was informed that he may require further dialysis sessions. What ICD-9-CM diagnosis code should be assigned for delayed graft function following transplant? Should the cytomegalovirus be coded? ...

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