Q&A: Reporting hemodialysis and CKD in ICD-10-CM with a failed transplant

Q: In ICD-10-CM, how would you report a patient who is receiving hemodialysis and has chronic kidney disease (CKD) when a failed kidney transplant is also documented?

A: You first need to make sure that the kidney the patient is receiving dialysis for is the kidney that they received the transplant for. There is a possibility that the old kidney could still remain, but typically the patient is relying on the transplanted kidney.

Based on the information given, the renal transplant should be coded as a complication. ICD-10-CM code T86.12 (kidney transplant failure) would be assigned along with a CKD code from category N18.- (chronic kidney disease). You should also report the hemodialysis status along with your hemodialysis procedure code.

Editor’s note: Sarah Humbert, RHIA, AHIMA-certified ICD-10-CM/PCS trainer, coding and compliance manager at KIWI-TEK, LLC, and Temeka Davis, RHIT, coding manager at KIWI-TEK, LLC, answered this questions during HCPro’s webinar Acute Kidney Injury and Acute Renal Failure: 2018 Coding, Criteria, and Classifications.

This answer was provided based on limited information. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.

Need expert advice? Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.