ICD-10 Coding for Stem Cell Transplant(Z94.84, T86.09)
Complete ICD-10-CM coding and documentation guide for Stem Cell Transplant. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Stem Cell Transplant
Z94.84Primary Range
Stem cell transplant status
Used to indicate the status of a patient who has undergone a stem cell transplant.
Complications of transplanted organs and tissues
Used for coding complications related to stem cell transplants.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z94.84 | Stem cell transplant status | Use for patients with a history of stem cell transplant when the transplant status is relevant to the current care. |
|
| T86.09 | Other complications of bone marrow transplant | Use when documenting specific complications related to a bone marrow transplant. |
|
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 stem cell transplant status
Essential facts and insights about Stem Cell Transplant
Primary ICD-10-CM Codes for stem cell transplant
Decision Criteria
clinical Criteria
- Patient has a documented history of stem cell transplant
Applicable To
- History of stem cell transplant
Clinical Validation Requirements
- Documented history of stem cell transplant
- Current functional status related to transplant
Code-Specific Risks
- Incorrectly using as a principal diagnosis
Coding Notes
- This code is used to indicate the status of a patient who has undergone a stem cell transplant.
T86.09 - Other complications of bone marrow transplant
Use when documenting specific complications related to a bone marrow transplant.
Applicable To
- Complications such as graft failure, rejection, or infection
Excludes
- Stem cell transplant status (Z94.84)
Clinical Validation Requirements
- Clinical evidence of transplant complication
- Specific complication type documented
Coding Notes
Ensure to document the specific type of complication for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute graft-versus-host disease
D89.810Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute graft-versus-host disease
D89.810Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Stem Cell Transplant to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z94.84.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific phrases like 'allogeneic donor identified as [Donor ID]', Include transplant date and type
Impact
Reimbursement: May result in incorrect DRG assignment and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Use Z94.84 as a secondary code to indicate transplant status.
Impact
Using Z94.84 as a principal diagnosis can trigger audits.
Mitigation Strategy
Ensure Z94.84 is used as a secondary code with appropriate primary diagnosis.
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 Stem Cell Transplant, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Stem Cell Transplant
Use these documentation templates to ensure complete and accurate documentation for Stem Cell Transplant. These templates include all required elements for proper coding and billing.
Post-transplant follow-up
Specialty: HematologyRequired Elements
- Graft function metrics
- Current medication regimen
- Complication status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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