ICD-10 Coding for Graft-versus-host disease(T86.01, D89.810)
Complete ICD-10-CM coding and documentation guide for Graft-versus-host disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Graft-versus-host disease
T86.00-T86.09Primary Range
Complications of transplanted organs and tissues
Primary range for GVHD as a complication of transplant.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T86.01 | Complications of stem cell transplant | Use when GVHD occurs as a complication post-stem cell transplant. |
|
| D89.810 | Acute graft-versus-host disease | Use to specify acute GVHD in post-transplant patients. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for GVHD
Essential facts and insights about Graft-versus-host disease
Primary ICD-10-CM Codes for gvhd
Decision Criteria
clinical Criteria
- Patient has undergone a stem cell transplant and presents with GVHD symptoms.
coding Criteria
- Ensure T86.01 is sequenced before D89.81x.
Applicable To
- GVHD as a complication of stem cell transplant
Excludes
- GVHD not related to transplant
D89.810 - Acute graft-versus-host disease
Use to specify acute GVHD in post-transplant patients.
Applicable To
- Acute GVHD
Excludes
- Chronic GVHD
Clinical Validation Requirements
- MAGIC criteria for acute GVHD
- Biopsy confirmation of acute GVHD
Coding Notes
Ensure documentation supports acute GVHD diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Stem cell transplant status
Z94.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Graft-versus-host disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T86.01.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always document transplant history., Include Z94.81 for transplant status.
Impact
Reimbursement: May lead to incorrect DRG assignment and reduced payment., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider for specific type of GVHD.
Impact
Failure to sequence T86.01 before D89.81x can lead to audit flags.
Mitigation Strategy
Implement coding audits to ensure correct sequencing.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Graft-versus-host disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Graft-versus-host disease
Use these documentation templates to ensure complete and accurate documentation for Graft-versus-host disease. These templates include all required elements for proper coding and billing.
Acute GVHD post-transplant
Specialty: Hematology/OncologyRequired Elements
- Days post-transplant
- Skin involvement percentage
- GI symptoms and output
- Liver function tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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