3. An initial transplant recipient requires the diagnosis necessitating the transplant be
coded as the principal diagnosis and an additional diagnostic code from category V42 to
denote the specific organ/tissue transplanted. The principal surgical procedure will be
the specific organ/tissue transplanted.
DIAGNOSIS: End state renal disease
PROCEDURE: Renal transplant
4. Use a subcategory code from 996 category to show cause of admission for rejection
and/or complication of organ transplant, and an additional code from V42 category to
show specific organ transplanted and now causing rejection.
DIAGNOSIS: Rejection of cadaver kidney transplant
5. An admission solely for follow -up of organ/tissue transplant will have code V67.0 as
the principle diagnosis.
DIAGNOSIS: Status post renal transplant follow-up
PROCEDURE: Transplant done 6 months ago for end
stage renal disease
PRINCIPLE XVII. AIDS AND HIV INFECTIONS
1. AIDS AND HIV. AIDS is an acronym for Acquired Immunodeficiency Syndrome.
HIV is an acronym for Human Immunodeficiency Virus. The spectrum of HIV infections
can be divided into three categories:
a. 42 - HIV infection with specified secondary infections and malignant
b. 43 - HIV infection with other specified manifestations in the absence of either
specified secondary infections or malignant neoplasms.
c. 44 - Other HIV infections not classifiable above.
2. Code Category. The selection of the appropriate 42-44 code is determined
solely by the terminology used for the HIV infection. Codes 42, 43, and 44 are
mutually exclusive and only one code from the 42-44 series should be used on the
same record. This code may change on subsequent admissions. Priority is given to
42 over 43 and 44; 43 is given priority over 44.