In the U.S., procedures such as bone marrow transplants are coded to represent the procedures done to inpatients in hospitals through ICD-10-PCS (Procedure Coding System).
Some of the typical ICD 10 codes for bone marrow transplant are:
07DY0Z0
Description: Open Allogeneic Bone Marrow Transplant
Applied with the transplantation of bone marrow of a donor in an open method.
07DY0Z1
Description: Transplantation of Syngeneic Bone Marrow, open method
Applied when an identical twin donor bone marrow is put in.
07DY0Z2
Description: Open Autologous Bone Marrow transplantation
Applied in the situations when own bone marrow of a patient is collected and re-administered.
ICD 10 code bone marrow transplant complications
The ranges of bone marrow transplant complications fall under the ICD-10-CM (diagnosis) coding system using mostly the T86.0 codes. This is how it breaks down:
T86.0- Bone marrow transplant complications
This is the overall type. It may be broken down into codes, which are more specific:
T86.00- Complication of bone marrow transplant unspecified
Apply in cases when the particular complication is not recorded.
T86.01- Rejection of the bone marrow transplant
Against immunologic reject of the transplanted marrow.
T86.02 -Failure of a bone marrow transplant
Applied in the cases when the graft does not work well (e.g., engraftment failure).
T86.03- Infection of the bone marrow transplant
In oxidal infections that are related to the transplant.
The ICD-10-CM diagnosis code which specifically classifies bone marrow transplant (as a diagnosis/status) is:
Z94.81- Bone marrow transplant status
Description: It says that the patient has received a bone marrow transplant and is currently living with the grafted tissue.
When to use this Code:
To record the history of bone marrow transplant.
In post-transplant attentions.
As a status in pre or post-transplant assessment.
Bone marrow transplant procedure code ICD 10
The inpatient process is documented in ICD-10-PCS codes which are used mostly in the hospital system of the United States, including documentation of bone marrow transplantation. These codes are designed based on:
Kind of transplant (autologous/allogeneic/syngeneic)
Type of approach (open, percutaneous, and so on)
Bone Marrow Transplant ICD-10 PCS Procedure Codes
07DY0Z0: Open transplantation of allogenic bone marrow
07DY3Z0: Allogeneic Percutaneous bone marrow transplantation
07DY0Z1: Syngeneic bone marrow transplantation open method
07DY3Z1: Syngeneic bone marrow Transplantation, percutaneous method
07DY0Z2: Open autologous bone marrow transplantation
07DY3Z2: Percutaneous autologous bone marrow transplant
Code structure disaggregation (on 07DY0Z0):
Section (0): Medical and Surgical
Body System (7): Lymphatic and Hemic (Systems)
Operation (D): Transplantation
Body Part (Y): Bone Marrow
Technique (0 or 3): Open or Percutaneous
Donors Type (Z0/Z1/Z2): Allogeneic, Syngeneic or Autologous
Qualifier (Z): Non Qualifier
Utilize the best code on basis of:
The source of the donor
The type of surgery adopted (open or percutaneous)
ICD 10 aftercare bone marrow transplant
The suitable ICD-10-CM code of diagnosis is:
Z48.290 - Encounter after transplant of bone marrow
Description:
The code is applied in a situation when a patient undergoes a routine care or observation following a bone marrow transplant, but without complications.
You should use this code when:
Follow up visits are being made to the patient when it comes to the transplant.
The treatment is associated with tracking the condition of transplant, etc.
No current complication is in place such a rejection, infection, or graft-versus-host disease.
Other codes used with:
Z94.81: To note the presence or absence of bone marrow transplant
T86.01: re-occurrence of transplant rejection
T86.02: Transplant failure
T86.03: in case of a transplant-related infection
D89.81: in case of graft-versus-host disease (GVHD)
ICD 10 code for stem cell transplant
The ICD-10 code stem cell transplant contains diagnosis (ICD-10-CM) and procedure (ICD-10-PCS) codes that vary depending on the context in which it is utilized.
Stem Cell Transplant ICD-10-CM (Diagnosis)
Z94.84-Stem cell transplant status
Applied to show a patient has undergone stem cell transplant (heatopoietic or peripheral blood stem cells).
Other diagnosis codes:
Z48.290: Bone marrow or stem cells transplantation aftercare (normal follow up)
T86.5: Problems of stem cell transplant (category)
T86.50: Undetermined complication
T86.51: Rejection
T86.52: Graft failure
T86.53: Infection
T86.59: Other complications
D89.81: Graft-versus- host disease (GVHD) a particular complication of stem cell transplant
Stem Cell Transplant ICD-10 2016-PCS Codes
They are applied in the inpatient hospital procedure coding. Examples include:
30233G2: Allogeneic hematopoietic stem cells transfusion in peripheral vein
30233G0: The infusion of stem cells of undifferentiated type into the peripheral vein
The code structure of stem cell infusion (30233Gx):
Section (3): Administration
Body system (0): Circulatory
Root Operation (2): Transfusion
Body Part (3): Peripheral vein
Approach (3): Percutaneous
Substance (G1/G2): Stem cells type
Qualifier (0): None
ICD 10 complications of stem cell transplant
Complications of stem cell transplant are coded under T86.5 with individual and various specific types of transplant-related problems.
T86.5 -The complications of stem cell transplant
It is the bottom category. These are the complete, chargeable codes:
T86.50: Other complication of stem cell transplant
T86.51: Rejection of stem cell transplant
T86.52: Lack of success of transplant of Stem Cells
T86.53: Infection of stem cell transplant
T86.59: Other stem cell transplant complications
Coding Notes:
T86.5x codes should be used to characterize the kind of complication.
Use other codes to:
Name particular infections (e.g., B95,B97 bacterial/viral agents)
Give a description of organ system involvement or symptoms
Add GVHD stage/severity where applicable
Bone marrow transplant billing codes ICD 10
In case of bone marrow transplant billing, ICD-10-CM (diagnosis/status/aftercare) and ICD-10-PCS (procedure) codes are applied with regard to the purpose of a bill (diagnosis tracking and inpatient procedures billing). And here is the list in full:
ICD- 10- CM (Diagnosis and Aftercare) Billing Codes
Z94.81: Bone marrow transplant status (used history/status)
Z48.290: Aftercare encounter in antitransplant of the bone marrow
T86.00: Complication of undetermined bone marrow transplant
T86.01: Rejection of bone marrow transplant
T86.02: Failure to have a bone marrow transplant
T86.03: Infection during bones marrow transplant
T86.09: Additional problems of bone marrow transplant
D89.81: Graft-versus-host disease (GVHD)
Use status indicator code- Z94.81
Routine after care/follow up visits should be Z48.290
Complications (rejection, failure, infection) should be exchanged using T86.xx codes.
Add D89.81 in the presence of GVHD
PCS ICD-10-PCS (Procedure Codes for Inpatient Billing)
They are utilized solely on inpatient procedures (neither on outpatient nor physician billing):
07DY0Z0: open, allogeneic bone marrow transplantation
07DY3Z0: allogeneic bone marrow transplant, percutaneous
07DY0Z1: open syngeneic bone marrow transplant
07DY0Z2: Open transplantation of autologous bone marrow
07DY3Z2: Percutaneous, autologous micrograft bone marrow transplantation
All the codes signify:
Type of donor: Autologous (self; Allogeneic (donor), Syngeneic (twin)
Surgery: Open vs percutaneous
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