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2025 ICD-10-CM code T86.3

Complications of heart-lung transplant.

Always use additional codes to specify the exact type of complication arising from the heart-lung transplant.Consult the ICD-10-CM manual for precise coding guidelines and to ensure accuracy.

Medical necessity for coding T86.3 hinges on the presence of a clinically significant complication directly attributable to the heart-lung transplant procedure.The complication must necessitate medical intervention or affect the patient's prognosis.Documentation must clearly establish the causal link between the complication and the transplant.

The clinical responsibility for this code lies with the transplant surgeon and the multidisciplinary transplant team, including cardiologists, pulmonologists, immunologists, and other specialists involved in post-transplant care.Their responsibilities encompass diagnosing and managing complications,monitoring immunosuppression, and providing overall patient care.

IMPORTANT:Use additional codes to identify other transplant complications, such as graft-versus-host disease (D89.81-), malignancy associated with organ transplant (C80.2), post-transplant lymphoproliferative disorders (PTLD) (D47.Z1).

In simple words: This code describes problems that can happen after someone has a heart and lung transplant surgery.Doctors will use extra codes to explain what the exact problem is.

This code is used to classify complications arising from a heart-lung transplant procedure.It encompasses a range of adverse events that may occur after the surgical procedure,requiring additional codes to specify the exact complication encountered (e.g., graft-versus-host disease, malignancy, post-transplant lymphoproliferative disorders).

Example 1: A 55-year-old patient undergoes a heart-lung transplant. Post-operatively, they develop an infection requiring treatment with antibiotics. This would be coded using T86.3 for the transplant complication and an additional code for the specific infection., A 60-year-old heart-lung transplant recipient experiences acute rejection of the transplanted organs. This would necessitate the use of T86.3 along with codes specifying the type of rejection and any treatment administered., A 48-year-old patient develops post-transplant lymphoproliferative disorder (PTLD) following a heart-lung transplant. The coding would include T86.3 and a specific code for PTLD (D47.Z1), reflecting the post-transplant complication.

Comprehensive documentation is essential and should include details of the transplant procedure, the patient's medical history, post-operative course,specific complications encountered, investigations performed (e.g., biopsies, imaging), and treatments administered.Immunosuppressive regimen details are crucial.

** This code should only be used when a complication arises as a direct result of a heart-lung transplant.Complications arising from unrelated events should be coded separately.

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