This patient with multifactorial risk factors for chronic kidney disease including stone disease and diabetes mellitus presents for a kidney transplant. Documentation states that the patient was purposely transplanted with an ABO incompatible organ and was treated with cycles of plasmapheresis and intravenous immune globulin (IVIG) prior to the transplant. Should the ABO incompatibility be coded? Is code 996.81, Complication of transplanted organ, kidney, the correct code?
Do not assign code 996.81, Complication of transplanted organ, kidney, since there is no complication or rejection of the transplanted organ. The fact that an ABO incompatible organ was transplanted does not necessarily indicate that there is a complication with the transplanted organ. No code is assigned for transplantation of an ABO incompatible organ.
Code 996.81 would be assigned only when there is a complication with the transplanted organ.