AHA Coding Clinic® for ICD-9 - 2012 Issue 2; Ask the Editor
Kidney Transplant with ABO Incompatible Organ
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? ...
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Article Overview
This article discusses a kidney transplant coding scenario involving ABO incompatibility, pre-transplant plasma exchange, and IVIG preparation. It is intended for coders and billing staff working with transplant-related documentation, and it focuses on whether the documented circumstance represents a reportable transplant complication or other diagnosis concept. The article helps readers understand the general coding considerations raised by the scenario without reproducing detailed coding conclusions.
Why This Topic Matters
Transplant cases often involve complex documentation and diagnosis selection, and the way incompatibility is documented can affect coding accuracy. This article is relevant to professionals who need to distinguish transplant-related conditions from non-complication circumstances in kidney transplant records.
What You Will Learn
- How a kidney transplant case with ABO incompatibility is framed for coding review
- Why transplant documentation must be assessed carefully for complication status
- What kinds of pre-transplant therapies may appear in transplant records
- How the article approaches the question of transplant complication reporting
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Transplant documentation reviewers
Codes Discussed
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