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T86.19
ICD-10-CM
Delayed Graft Function

Understanding Delayed Graft Function (DGF) after kidney transplant is crucial for healthcare professionals. This page provides information on DGF diagnosis, including clinical documentation and medical coding for Post-Transplant Renal Dysfunction. Learn about DGF symptoms, treatment, and management strategies for improved patient outcomes.

Also known as

DGF
Post-Transplant Renal Dysfunction

Diagnosis Snapshot

Key Facts
  • Definition : Kidney transplant fails to function normally right after surgery, requiring dialysis.
  • Clinical Signs : Decreased urine output, fluid retention, elevated creatinine, electrolyte imbalances.
  • Common Settings : Post-kidney transplant period, typically within the first week.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC T86.19 Coding
T86.1

Complications of kidney transplant

Covers complications specific to kidney transplants, including DGF.

N79

Disorders of kidney and ureter, NEC

Includes unspecified kidney disorders that may relate to post-transplant dysfunction.

T86

Failure and rejection of transplanted organs and tissues

Encompasses broader transplant complications, relevant to DGF as a form of early failure.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is DGF due to acute tubular necrosis (ATN)?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Kidney transplant not working right away.
Sudden kidney failure after transplant.
Slow decline in kidney transplant function.

Documentation Best Practices

Documentation Checklist
  • Document serum creatinine trends post-transplant
  • Specify DGF duration and severity
  • Note contributing factors: ischemia, rejection
  • Record interventions for DGF management
  • Code DGF with N19 or other relevant ICD

Coding and Audit Risks

Common Risks
  • Unspecified DGF Type

    Coding DGF without specifying acute or chronic, impacting quality reporting and reimbursement.

  • DGF vs. Acute Rejection

    Miscoding DGF as acute rejection due to similar symptoms, leading to inaccurate outcomes data.

  • Missed DGF Diagnosis

    Failing to document DGF due to reliance on alternate names or non-specific symptoms, impacting quality metrics.

Mitigation Tips

Best Practices
  • Optimize pre-transplant care: recipient & donor selection, organ preservation.
  • Minimize cold ischemia time: expedite transport, OR prep.
  • Monitor & treat early rejection: biopsy, immunosuppression.
  • Manage fluid balance: euvolemia, diuretics, renal replacement therapy.
  • Document CDI: AKI vs DGF, coding ICD-10 N99.89, V42.85

Clinical Decision Support

Checklist
  • Verify Scr rise within 1 week post-transplant: ICD-10 N19, LOINC 39465-3
  • Confirm need for dialysis post-transplant: ICD-10 Z99.2, SNOMED 433171000124104
  • Exclude hyperacute rejection and other causes: Document differential diagnosis
  • Check biopsy for acute tubular necrosis: ICD-10 N17.9, SNOMED 125473006

Reimbursement and Quality Metrics

Impact Summary
  • Delayed Graft Function (DGF) reimbursement impacts DRG assignment and necessitates accurate ICD-10 coding (N99.89, T86.1x) for optimal payment.
  • DGF significantly affects quality metrics like readmission rates, length of stay, and patient survival, impacting hospital value-based purchasing programs.
  • Accurate DGF diagnosis coding is crucial for risk adjustment in Medicare Advantage and other pay-for-performance programs.
  • Proper DGF documentation and coding supports transplant program performance reporting and quality improvement initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: How can I differentiate delayed graft function (DGF) from acute rejection in a kidney transplant recipient experiencing oliguria and elevated creatinine?

A: Differentiating delayed graft function (DGF) from acute rejection in a kidney transplant recipient can be challenging, especially when both present with oliguria and elevated creatinine. DGF, characterized by the need for dialysis within the first week post-transplant, is often caused by ischemic injury during preservation and reperfusion. Biopsy findings may show acute tubular necrosis (ATN). In contrast, acute rejection, mediated by the recipient's immune system attacking the donor kidney, usually occurs after the first week. Biopsy in acute rejection will show infiltrating lymphocytes and signs of tissue damage. While both conditions share some clinical signs, the timing of onset and biopsy findings are crucial for diagnosis. Consider implementing a protocol for early biopsies in patients with oliguria and rising creatinine post-transplant to differentiate between DGF and acute rejection and inform timely management. Explore how standardized protocols can improve early diagnosis and outcomes in kidney transplant recipients experiencing DGF or acute rejection.

Q: What are the best strategies for preventing delayed graft function (DGF) in deceased donor kidney transplantation, particularly in extended criteria donors?

A: Preventing delayed graft function (DGF) in deceased donor kidney transplantation, especially with extended criteria donors (ECDs), requires a multi-pronged approach. Optimizing donor management before organ retrieval is critical, including maintaining hemodynamic stability and minimizing cold ischemic time. Machine perfusion, both static cold storage and normothermic perfusion, has shown promise in reducing DGF, particularly with ECDs. Recipient factors also play a role; meticulous surgical technique, minimizing warm ischemia time, and avoiding nephrotoxic drugs are essential. Immunosuppressive strategies minimizing calcineurin inhibitor use early post-transplant may also be beneficial. Learn more about the latest research on machine perfusion and its role in preventing DGF in ECD kidney transplants. Consider implementing preemptive strategies and exploring how various pre- and post-transplant interventions can work synergistically to reduce the incidence of DGF and improve long-term graft outcomes.

Quick Tips

Practical Coding Tips
  • Code DGF with N17.9
  • Document DGF onset time
  • Query physician for DGF cause
  • Consider AKI vs. DGF coding
  • Check creatinine for DGF diagnosis

Documentation Templates

Patient presents with delayed graft function (DGF) post-renal transplant.  Onset of symptoms occurred [Number] days post-transplantation.  Evidence of post-transplant renal dysfunction includes [Specific lab values, e.g., elevated serum creatinine, decreased urine output, oliguria, anuria].  Differential diagnosis considered acute kidney injury (AKI), acute rejection, urinary tract obstruction, and drug-induced nephrotoxicity.  Current medications include [List medications].  Imaging studies [Specify imaging, e.g., renal ultrasound, Doppler ultrasound] revealed [Imaging findings].  Biopsy findings, if performed, indicated [Biopsy results].  Diagnosis of DGF is based on clinical presentation, laboratory findings, and exclusion of other causes of renal dysfunction.  Patient requires [Specify treatment, e.g., dialysis, increased immunosuppression].  Plan to monitor renal function closely with serial creatinine levels and urine output measurements.  Prognosis for graft recovery is [Assessment of prognosis].  Patient education provided regarding DGF, medication adherence, and signs and symptoms of complications.  Follow-up scheduled in [Timeframe].  ICD-10 code N99.89 (Other specified postprocedural complications and disorders of genitourinary system, not elsewhere classified) is considered, with additional codes for underlying causes as appropriate.  CPT codes for services rendered will be documented separately.
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