ICD-10 Coding for Delayed Graft Function(T86.19)
Complete ICD-10-CM coding and documentation guide for Delayed Graft Function. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Delayed Graft Function
T86.1-T86.19Primary Range
Complications of transplanted organs and tissues
This range includes codes for complications specific to transplanted organs, including delayed graft function.
Key Information: ICD-10 code for delayed graft function
Essential facts and insights about Delayed Graft Function
Primary ICD-10-CM Code for delayed graft function
Decision Criteria
clinical Criteria
- Delayed graft function with dialysis initiation within 7 days post-transplant.
documentation Criteria
- Explicit mention of delayed graft function in clinical notes.
Applicable To
- Delayed graft function
Clinical Validation Requirements
- Documentation of delayed graft function post-transplant
- Requirement of dialysis within the first week post-transplant
- Serum creatinine levels not decreasing as expected
Code-Specific Risks
- Misclassification as chronic kidney disease
- Failure to document linkage to transplant
Coding Notes
- Ensure documentation clearly links the delayed graft function to the transplant procedure.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Delayed Graft Function to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T86.19.
Impact
Clinical: Misinterpretation of patient condition, Regulatory: Potential audit flags for insufficient documentation, Financial: Incorrect DRG assignment affecting reimbursement
Mitigation Strategy
Use specific terms like 'delayed graft function', Document dialysis and lab trends
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines for transplant complications., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure DGF is documented as a transplant complication and use T86.19.
Impact
Incorrect coding of DGF as non-transplant related renal failure.
Mitigation Strategy
Educate clinicians on proper documentation linking DGF to transplant.
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 Delayed Graft Function, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Delayed Graft Function
Use these documentation templates to ensure complete and accurate documentation for Delayed Graft Function. These templates include all required elements for proper coding and billing.
Post-Transplant Monitoring
Specialty: NephrologyRequired Elements
- Transplant date
- Post-operative urine output
- Serum creatinine levels
- Dialysis initiation
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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