2025 ICD-10-CM code J95.84
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Respiratory System Disorders - Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified 10: Diseases of the respiratory system Feed
Transfusion-related acute lung injury (TRALI).
Modifiers may be applicable depending on the circumstances of the procedure.Consult the most recent coding guidelines for appropriate modifier use.
The medical necessity for coding J95.84 is established when a patient develops acute lung injury within six hours of a blood transfusion, and other causes of acute lung injury have been ruled out.This requires thorough clinical evaluation and documentation.
The clinical responsibility for diagnosing and managing TRALI rests primarily with the physician or healthcare provider who is managing the patient's overall care.This often involves specialists like pulmonologists and intensivists, in addition to the transfusion medicine team and the clinicians responsible for the initial transfusion. Close monitoring is crucial, which may involve respiratory support, fluid management, and supportive care. The specific actions taken will depend on the severity of the patient's symptoms.
In simple words: TRALI is a rare but serious lung problem that can happen after a blood transfusion. It causes trouble breathing and may need immediate medical attention.
Transfusion-related acute lung injury (TRALI) is a serious complication that can occur after a blood transfusion. It is characterized by acute lung injury that develops within six hours of a blood transfusion. The symptoms of TRALI can include shortness of breath, cough, and low blood oxygen levels.In severe cases, TRALI can lead to respiratory failure and death.The exact cause of TRALI is not fully understood, but it is thought to be related to the presence of antibodies in the transfused blood that react with the recipient's lungs.
Example 1: A 65-year-old female patient receiving a blood transfusion during a cardiac surgery procedure develops acute respiratory distress syndrome (ARDS) within 2 hours. This is characterized by severe shortness of breath, hypoxemia, and bilateral infiltrates on chest x-ray. The diagnosis of TRALI is made based on clinical presentation and absence of other causes for ARDS. , A 30-year-old male patient with sickle cell anemia receiving red blood cell transfusion for an acute vaso-occlusive crisis experiences sudden onset of dyspnea and hypoxemia four hours after the beginning of the transfusion.His oxygen saturation drops significantly. Despite supportive measures, he requires mechanical ventilation.TRALI is confirmed., A 70-year-old female patient undergoes a total hip replacement. During the procedure, she receives multiple units of packed red blood cells and fresh frozen plasma.Post-operatively, she presents with acute respiratory symptoms and signs. Chest imaging reveals acute lung injury. After extensive investigation, the cause is determined to be TRALI.
** TRALI is a significant cause of morbidity and mortality associated with blood transfusions.Early recognition and prompt management are crucial for improving patient outcomes.Further investigation may involve laboratory tests to identify the specific antibodies involved in the reaction.
- Payment Status: Active
- Modifier TC rule: Not applicable for this diagnosis code.
- Specialties:Hematology, Transfusion Medicine, Pulmonology, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Intensive Care Unit