Pre existing conditions or conditions that develop after the transplant are not

Pre existing conditions or conditions that develop

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Pre-existing conditions or conditions that develop after the transplant are not coded as complications unless they affect the function of the transplanted organs. See I.C.21. for transplant organ removal status See I.C.2. for malignant neoplasm associated with transplanted organ. (b) Kidney transplant complications Patients who have undergone kidney transplant may still have some form of chronic kidney disease (CKD) because the kidney transplant may not fully restore kidney function. Code T86.1- should be assigned for documented complications of a kidney transplant, such as transplant failure or rejection or other transplant complication. Code T86.1- should not be assigned for post kidney transplant patients who have chronic kidney (CKD) unless a transplant complication such as transplant failure or rejection is documented. If the documentation is unclear as to whether the patient has a complication of the transplant, query the provider. Conditions that affect the function of the transplanted kidney, other than CKD, should be assigned a code from subcategory T86.1, Complications of transplanted organ, Kidney, and a secondary code that identifies the complication. For patients with CKD following a kidney transplant, but who do not have a complication such as failure or rejection, see section I.C.14. Chronic kidney disease and kidney transplant status . 4) Complication codes that include the external cause As with certain other T codes, some of the complications of care codes have the external cause included in the code. The code includes the nature of the complication as well as the type of procedure that caused the complication. No external cause code indicating the type of procedure is necessary for these codes. 5) Complications of care codes within the body system chapters Intraoperative and postprocedural complication codes are found within the body system chapters with codes specific to the organs and structures of that body system. These codes should be sequenced first, followed by a code(s) for the specific complication, if applicable. Patient admitted for atrial fibrillation with history of chronic atrial fibrillation for which she is prescribed amiodarone. Financial concerns have left the patient unable to pay for her prescriptions and she has been skipping her amiodarone dose every other day to offset the cost. I48.2 Chronic atrial fibrillation T46.2X6A Underdosing of other antidysrhythmic drugs, initial encounter Z91.120 Patient’s intentional underdosing of medication regimen due to financial hardship Explanation: By skipping her amiodarone pill every other day, the patient’s atrial fibrillation returned. The condition for which the drug was being taken is reported first, followed by an underdosing code to show that the patient was not adhering to her prescription regiment. The Z code helps elaborate on the patient’s social and/or economic circumstances that led to the patient taking less then what she was prescribed.
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