Bone Marrow Transplant ICD-10 Codes: What You Need to Know

Learn key Bone Marrow Transplant ICD-10 codes for global patients. GetWellGo helps you navigate billing and care across borders with accurate info.

Bone Marrow Transplant ICD-10 Codes: What You Need to Know

Bone Marrow Transplant ICD 10 code

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.

T86.09 - Other complications of transplant

  • Covers problems not otherwise specified (e.g. graft-versus-host disease unless coded otherwise).

Bone marrow transplant diagnosis code ICD 10

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:

  • 30233G1: Autologous, peripheral, hematopoietic, stem-cell transfusion
  • 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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