AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2012 Issue 4; Ask the Editor - ICD-10-CM/PCS

Domino Liver Transplant

The patient is a 61-year-old man who was diagnosed with familial amyloid 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 Z52.64, Liver donor, be reported to capture the fact that the patient was a recipient and also a donor? How should domino liver transplant be coded?  ...

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