AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; Ask the Editor

Elevated Donor Specific Antibodies Following Heart Transplantation

A patient, who is status post heart transplant, is admitted due to elevated donor specific antibodies (DSAs) found on routine labs. The provider was concerned for acute rejection of the donor heart, and a diagnostic right heart catheterization and endomyocardial biopsy were performed. The findings were negative for acute cellular and antibody-mediated rejection (AMR). The patient received IVIG and Rituximab treatment for elevated DSAs. Should code R76.0, Raised antibody titer be assigned? What is the appropriate code assignment to capture an elevated DSA? ...

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