ICD-10 Coding for Bone Marrow Transplantation(0WQF0ZZ, 0WQF3ZZ, T86.0)
Complete ICD-10-CM coding and documentation guide for Bone Marrow Transplantation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bone Marrow Transplantation
Z94.80-Z94.84Primary Range
Transplanted organ and tissue status
This range includes codes for the status of transplanted organs and tissues, including bone marrow.
Complications of transplanted organs and tissues
This range covers complications related to transplanted organs, including graft-versus-host disease.
Acute myeloid leukemia
These codes are often used as primary diagnoses for patients undergoing bone marrow transplantation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0WQF0ZZ | Autologous bone marrow transplant | Use when the patient receives their own stem cells for transplantation. |
|
| 0WQF3ZZ | Allogeneic bone marrow transplant | Use when the patient receives stem cells from a donor. |
|
| T86.0 | Complications of bone marrow transplant | Use for documenting complications such as GVHD post-transplant. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bone marrow transplant
Essential facts and insights about Bone Marrow Transplantation
Primary ICD-10-CM Codes for bone marrow transplantation
Decision Criteria
clinical Criteria
- Patient's own stem cells are used for transplantation.
Applicable To
- Autologous stem cell transplant
Excludes
- Allogeneic bone marrow transplant
Clinical Validation Requirements
- Documentation of autologous stem cell source
- Condition requiring transplant (e.g., multiple myeloma)
Code-Specific Risks
- Misclassification if donor type is not specified
Coding Notes
- Ensure donor type and stem cell source are documented.
0WQF3ZZ - Allogeneic bone marrow transplant
Use when the patient receives stem cells from a donor.
Applicable To
- Allogeneic stem cell transplant
Excludes
- Autologous bone marrow transplant
Clinical Validation Requirements
- Documentation of donor type and HLA matching
- Condition requiring transplant (e.g., leukemia)
Coding Notes
Ensure donor type and HLA matching are documented.
T86.0 - Complications of bone marrow transplant
Use for documenting complications such as GVHD post-transplant.
Applicable To
- Graft-versus-host disease
Excludes
- Complications of other organ transplants
Clinical Validation Requirements
- Biopsy-proven GVHD
- Chimerism studies
Coding Notes
Document the type and grade of GVHD.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Introduction of other therapeutic substance into peripheral vein, percutaneous approach
3E0M3GCDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bone Marrow Transplantation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0WQF0ZZ.
Impact
Clinical: Inaccurate treatment records., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use standardized templates that include donor type fields., Regular training on documentation requirements.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure donor type is clearly documented as autologous or allogeneic.
Impact
Lack of specificity in donor type can lead to audit findings.
Mitigation Strategy
Implement mandatory fields in EHR for donor type and source.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bone Marrow Transplantation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bone Marrow Transplantation
Use these documentation templates to ensure complete and accurate documentation for Bone Marrow Transplantation. These templates include all required elements for proper coding and billing.
Allogeneic Bone Marrow Transplant
Specialty: HematologyRequired Elements
- Donor type
- Stem cell source
- Conditioning regimen
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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