Complications of transplanted organs and tissue T86- >

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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify other transplant complications, such as:
  • graft-versus-host disease (
    ICD-10-CM Diagnosis Code D89.81

    Graft-versus-host disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code First
    • underlying cause, such as:
    • complications of transplanted organs and tissue (T86.-)
    • complications of blood transfusion (T80.89)
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    • code to identify associated manifestations, such as:
    • desquamative dermatitis (L30.8)
    • diarrhea (R19.7)
    • elevated bilirubin (R17)
    • hair loss (L65.9)
    D89.81-
    )
  • malignancy associated with organ transplant (
    ICD-10-CM Diagnosis Code C80.2

    Malignant neoplasm associated with transplanted organ

      2016 2017 2018 Billable/Specific Code
    Code First
    • complication of transplanted organ (T86.-)
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    • code to identify the specific malignancy
    C80.2
    )
  • post-transplant lymphoproliferative disorders (PTLD) (
    ICD-10-CM Diagnosis Code D47.Z1

    Post-transplant lymphoproliferative disorder (PTLD)

      2016 2017 2018 Billable/Specific Code
    Code First
    • complications of transplanted organs and tissue (T86.-)
    D47.Z1
    )
Codes