Diagnosis code for rejection of a kidney transplant
HIM Connection, December 2, 2008
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Q: A physician admits a patient for rejection of a kidney transplant the physician performed four weeks prior. Which diagnosis codes should I report?
A: The physician didn’t document the specific complication. Therefore, you should only assign one code. In this case, report code 996.81 for complication of transplanted kidney. It’s unclear whether you should assign code V42 for status posttransplant organ or tissue. However, this code seems redundant given the description of code 996.81.
Editor’s note: This Q&A originally appeared in the November issue of Briefings on Coding Compliance Strategies. Shannon McCall, RHIA, CCS, CPC, director of coding and HIM at HCPro, Inc., and Jennifer Avery, CCS, CPC, CPC-H, regulatory specialist at HCPro, Inc., answered this question.
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