ICD-10 Coding for Liver Transplant(Z94.4, T86.4)
Complete ICD-10-CM coding and documentation guide for Liver Transplant. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Liver Transplant
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z94.4 | Liver transplant status | Use when the patient has a functioning liver transplant without complications. |
|
| T86.4 | Liver transplant rejection and failure | Use when there are complications such as rejection or failure of the liver 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 liver transplant
Essential facts and insights about Liver Transplant
Primary ICD-10-CM Codes for liver transplant
Decision Criteria
clinical Criteria
- Patient has stable liver function tests and no signs of rejection.
Applicable To
- Status post liver transplant
Excludes
- Complications of liver transplant (T86.4)
Clinical Validation Requirements
- Stable liver function tests
- No signs of rejection or failure
Code-Specific Risks
- Incorrectly using this code when there are complications present.
Coding Notes
- Ensure no complications are present when using Z94.4.
T86.4 - Liver transplant rejection and failure
Use when there are complications such as rejection or failure of the liver transplant.
Applicable To
- Rejection of liver transplant
- Failure of liver transplant
Excludes
- Status post liver transplant without complications (Z94.4)
Clinical Validation Requirements
- Biopsy confirming rejection
- Elevated liver enzymes indicating graft dysfunction
Coding Notes
Ensure documentation of rejection or failure is present.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Liver Transplant to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z94.4.
Impact
Clinical: Inaccurate assessment of patient compliance., Regulatory: Potential non-compliance with transplant guidelines., Financial: Risk of denied claims due to incomplete documentation.
Mitigation Strategy
Include signed abstinence agreements in patient records., Regularly update abstinence status in follow-up visits.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use T86.4 as the primary code and Z94.4 as secondary.
Impact
Lack of detailed documentation for transplant complications.
Mitigation Strategy
Implement regular audits of transplant patient records.
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 Liver Transplant, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Liver Transplant
Use these documentation templates to ensure complete and accurate documentation for Liver Transplant. These templates include all required elements for proper coding and billing.
Post-Transplant Follow-Up
Specialty: HepatologyRequired Elements
- Transplant date
- Current liver function tests
- Immunosuppression regimen
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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