2025 ICD-10-CM code T86.11
Kidney transplant rejection.
Medical necessity is established by the diagnosis of kidney transplant rejection, which poses a threat to graft function and patient survival. The need for interventions like immunosuppression adjustments, biopsies, and treatment of complications is justified by the potential for irreversible graft damage without intervention.
The physician is responsible for diagnosing the rejection, typically through biopsies, blood tests monitoring creatinine levels, and other clinical indicators. They manage immunosuppressant medications, adjusting dosages or changing medications as needed. They also address associated complications such as infections, hypertension, and malignancies.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injury, poisoning and certain other consequences of external causes (T07-T88)
In simple words: This code indicates that your body is rejecting your transplanted kidney.This can happen soon after the transplant or years later. Your doctor will need to adjust your medications or treatment plan to help your body accept the new kidney.
This code signifies a rejection of a transplanted kidney, encompassing both acute and chronic rejection. It includes complications such as graft-versus-host disease, malignancy associated with organ transplant, and post-transplant lymphoproliferative disorders (PTLD).
Example 1: A patient presents with elevated creatinine levels, tenderness over the transplant site, and fever a few weeks after kidney transplant surgery. A biopsy confirms acute rejection, and the physician increases the dosage of immunosuppressants., A patient experiences a slow decline in kidney function several years after transplantation. Biopsy reveals chronic rejection with fibrosis and scarring. The physician adjusts immunosuppression and manages associated complications like hypertension., A patient develops symptoms consistent with graft-versus-host disease after kidney transplantation. Further testing confirms the diagnosis, and treatment is initiated to manage the immune response.
Documentation should include biopsy reports if performed, laboratory results (creatinine, urine protein), imaging studies, details of immunosuppressant therapy, clinical findings like swelling, tenderness, fever, and associated complications.
** It is important to distinguish between acute and chronic rejection as this will determine treatment strategies. It is crucial to monitor for and document associated complications for optimal management.
- Specialties:Nephrology, Transplant Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office