3. The V7.8 (Examination of potential donor) code will not be used on the same
record as the V59 (Donor) category code.
4. Initial Transplant Recipient. Patients admitted for an injury or chronic disease
process necessitating an initial organ/tissue transplant will have that condition coded as
the principal diagnosis. An additional subcategory code from the V42 (Organ or tissue
replaced by transplant) category will be used as an additional code to indicate the
specific organ/tissue transplanted. The recipient's surgical procedure indicating the
organ/tissue transplanted will always be indicated and coded as the principle procedure.
5. Recipient Complications and/or Rejections. When an admission occurs due to a
complication and/or rejection of a previously transplanted organ/tissue, the cause of
admission code is selected from the 996.8 through 996.99 subcategories and used as
the principal diagnosis. An additional code from category V42 (Organ or tissue replaced
by transplant) is required to denote the specific organ involved.
6. Follow -up. At specified intervals transplant patients are admitted solely for
examination and testing. When the admission is solely for follow -up care (status post
with no complication) code V67 will be the principal diagnostic code. A code from the
V42 category is selected to indicate the organ or tissue replaced by transplant. The
disease process (or injury) which led to the initial transplant will not be coded.
7. All subcategory codes in the V42 (Organ or tissue replaced by transplant) category
are status codes to indicate the presence of a transplanted organ/tissue.
1. A surgical procedure for organ/tissue removal is not appropriate with the
predonation examination for tissue compatibility diagnosis.
DIAGNOSIS: Examination of potential kidney donor
2. The organ donor requires a diagnostic code to indicate the specific organ donated
and a surgical procedure code for the specific organ/tissue removed.
DIAGNOSIS: Kidney donor
PROCEDURE: Total nephrectomy, right