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Transplant

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

KIDNEY TRANSPLANT

Code Description (ICD-9 codes are in blue)
V42.0 Kidney replaced by transplant
Z94.0 Kidney transplant status
Z48.22
Encounter for aftercare following kidney transplant
585 Chronic renal failure

Does not map to any ICD-10 equivalents. Requires a 4th digit in ICD-9. Must document stage of renal failure for 4th digit.
N18.1 Chronic kidney disease, stage 1
N18.2
Chronic kidney disease, stage 2 (mild)
N18.3
Chronic kidney disease, stage 3 (moderate)
N18.4
Chronic kidney disease, stage 4 (severe) = CC
N18.5
Chronic kidney disease, stage 5 = CC
V70.8 Other specified general medical examinations

Note if examination is for period of delayed growth in childhood with or without abnormal findings.
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.8
Encounter for other general examination
Z00.70
Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71
Encounter for examination for period of delayed growth in childhood with abnormal findings
585.9 Chronic kidney disease, unspecified
N18.1 Chronic kidney disease, stage 1
N18.2 Chronic kidney disease, stage 2 (mild)
N18.3
Chronic kidney disease, stage 3 (moderate)
N18.4
Chronic kidney disease, stage 4 (severe) = CC
N18.5
Chronic kidney disease, stage 5 = CC
996.73 Other complications due to renal dialysis device implant and graft
T82.818A Embolism of vascular prosthetic devices, implants and grafts, initial encounter
T82.828A Fibrosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.838A
Hemorrhage of vascular prosthetic devices, implants and grafts, initial encounter
T82.848A
Pain from vascular prosthetic devices, implants and grafts, initial encounter
T82.858A
Stenosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.868A
Thrombosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.898A
Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter
996.81 Complications of transplanted kidney

Document rejection, failure, or infection.
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12
Kidney transplant failure
T86.13
Kidney transplant infection
T86.19
Other complication of kidney transplant
279.9 Unspecified disorder of immune mechanism

Documentation should specify the specific disorder or immune mechanism if such detail is available.
D89.89
Other specified disorders involving the immune mechanism, not elsewhere classified
D89.82 Autoimmune lymphoproliferative syndrome [ALPS]
D89.9
Disorder involving the immune mechanism, unspecified
285.9 Anemia unspecified

It is important to note the related disease or nature of anemia if available in ICD-10. Possibilities include anemia due to antineoplastic chemotherapy, chronic kidney disease, and others listed below.
D64.81 Anemia due to antineoplastic chemotherapy
D63.8
Anemia in other chronic diseases classified elsewhere
D63.0
Anemia in neoplastic disease
D63.1
Anemia in chronic kidney disease
D62
Acute posthemorrhagic anemia
D64.0
Hereditary sideroblastic anemia
D64.1
Secondary sideroblastic anemia due to disease
D64.2
Secondary sideroblastic anemia due to drugs and toxins
D64.3
Other sideroblastic anemias
D64.9
Anemia, unspecified
070.70 Unspecified viral hepatitis c without hepatic coma
B19.21 Unspecified viral hepatitis C with hepatic coma
B19.20 Unspecified viral hepatitis C without hepatic coma
996.1 Mechanical complication of other vascular device implant and graft

Document the nature of the complication (breakdown, displacement, leakage, type of mechanical device, and arterial location of occurrence. A sample of these codes is provided below.
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.595A
Other mechanical complication of umbrella device, initial encounter
T82.598A
Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.310A
Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A
Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A
Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A
Breakdown (mechanical) of other vascular grafts, initial encounter
T82.319A
Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.320A
Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A
Displacement of carotid arterial graft (bypass), initial encounter
T82.322A
Displacement of femoral arterial graft (bypass), initial encounter
T82.328A
Displacement of other vascular grafts, initial encounter
T82.329A
Displacement of unspecified vascular grafts, initial encounter
T82.330A
Leakage of aortic (bifurcation) graft (replacement), initial encounter
V45.89 Other postsurgical status
Z97.4 Presence of external hearing-aid
Z98.89 Other specified postprocedural states
Z96.21
Cochlear implant status
Z96.22
Myringotomy tube(s) status
Z97.8
Presence of other specified devices
Z98.3
Post therapeutic collapse of lung status
Z98.62
Peripheral vascular angioplasty status
263.9 Unspecified protein-calorie malnutrition

Note if sequelae of protein-calorie malnutrition.
E46 Unspecified protein-calorie malnutrition
E64.0 Sequelae of protein-calorie malnutrition
998.59 Other postoperative infection

Note if postprocedural infection is retroperitoneal abscess or other.
K68.11 Postprocedural retroperitoneal abscess
T81.4XXA Infection following a procedure, initial encounter
593.9 Unspecified disorder of kidney and ureter

Note specific disorder if known:
N28.0 Ischemia and infarction of kidney
N21.9
Calculus of lower urinary tract, unspecified
N28.9
Disorder of kidney and ureter, unspecified
N29
Other disorders of kidney and ureter in diseases classified elsewhere
996.56 Mechanical complication due to peritoneal dialysis catheter

Document the nature of complication (breakdown, displacement, or leakage)
T85.691A Other mechanical complication of intraperitoneal dialysis catheter, initial encounter
T85.611A
Breakdown (mechanical) of intraperitoneal dialysis catheter, initial encounter
T85.621A
Displacement of intraperitoneal dialysis catheter, initial encounter
T85.631A
Leakage of intraperitoneal dialysis catheter, initial encounter
V07.2 Need for prophylactic immunotherapy

One to one match in ICD-10 - (Z41.8: Encounter for other procedures for purposes other than remedying health state)
585.6 End stage renal disease

Exact match in ICD-10 (N18.6)
V59.4 Kidney donors

Exact match in ICD-10 (Z52.4)
585.5 Chronic kidney disease, stage v

Exact match in ICD-10 (N18.5)
585.4 Chronic kidney disease, stage iv (severe)

Exact match in ICD-10 (N18.4)
403.91 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease

Exact match in ICD-10 (I12.0)

HEART TRANSPLANT

Code Description (ICD-9 codes are in blue)
V70.8 Other specified general medical examinations

Note if examination is for period of delayed growth in childhood with or without abnormal findings.
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.8
Encounter for other general examination
Z00.70
Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71
Encounter for examination for period of delayed growth in childhood with abnormal findings
401.1 Benign essential hypertension

It is important to note any of the following that are applicable. Other disorders may accompany hypertentension. These disorders should be noted.
I15.1 Hypertension secondary to other renal disorders
I15.2
Hypertension secondary to endocrine disorders
I15
Secondary hypertension
I15.0
Renovascular hypertension
I15.9
Secondary hypertension, unspecified
I97.3
Postprocedural hypertension
K76.6 Portal hypertension
I10
Essential (primary) hypertension
279.9 Unspecified disorder of immune mechanism

Documentation should specify the specific disorder or immune mechanism if such detail is available.
D89.89 Other specified disorders involving the immune mechanism, not elsewhere classified
D89.82
Autoimmune lymphoproliferative syndrome [ALPS]
D89.9
Disorder involving the immune mechanism, unspecified
285.9 Anemia unspecified

It is important to note the related disease or nature of anemia if available in ICD-10.
D64.81 Anemia due to antineoplastic chemotherapy
D63.8
Anemia in other chronic diseases classified elsewhere
D63.0
Anemia in neoplastic disease
D63.1
Anemia in chronic kidney disease
D62
Acute posthemorrhagic anemia
D64.0
Hereditary sideroblastic anemia
D64.1
Secondary sideroblastic anemia due to disease
D64.2
Secondary sideroblastic anemia due to drugs and toxins
D64.3
Other sideroblastic anemias
D64.9
Anemia, unspecified
263.9 Unspecified protein-calorie malnutrition

Note if sequelae of protein-calorie malnutrition.
E46 Unspecified protein-calorie malnutrition
E64.0
Sequelae of protein-calorie malnutrition
998.59 Other postoperative infection

Note if postprocedural infection is retroperitoneal abscess or other.
K68.11 Postprocedural retroperitoneal abscess
T81.4XXA
Infection following a procedure, initial encounter
V58.44 Aftercare following organ transplant

Note the type of transplant to which the aftercare is related. May be related to heart, kidney, lung, liver, or others.
Z48.298 Encounter for aftercare following other organ transplant
Z48.21
Encounter for aftercare following heart transplant
Z48.22
Encounter for aftercare following kidney transplant
Z48.23
Encounter for aftercare following liver transplant
Z48.24
Encounter for aftercare following lung transplant
Z48.280
Encounter for aftercare following heart-lung transplant
Z48.288
Encounter for aftercare following multiple organ transplant
Z48.290
Encounter for aftercare following bone marrow transplant
250.00 Diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled

Document type of diabetes. Type 2 or other.
E11.9 Type 2 diabetes mellitus without complications
E13.9 Other specified diabetes mellitus without complications
998.12 Hematoma complicating a procedure

Document if intraoperative or postprocedural. Note specific site of hematoma. Include laterality where appropriate. A sample of these codes is below.
E36.01 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure
E36.02 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure
G97.31
Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure
G97.32
Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
G97.51
Postprocedural hemorrhage and hematoma of a nervous system organ or structure following a nervous system procedure
287.5 Thrombocytopenia unspecified

Document the specific nature of thrombocytopenia if detail is available. Note if posttransfusion purpura, immune thrombocytopenic purpura or others.
D69.59 Other secondary thrombocytopenia
D69.51 Posttransfusion purpura
D69.3
Immune thrombocytopenic purpura
D69.49
Other primary thrombocytopenia
D69.42
Congenital and hereditary thrombocytopenia purpura
D69.41
Evans syndrome
D69.6
Thrombocytopenia, unspecified
486 Pneumonia organism unspecified

If pneumonia is viral, and virus known:
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
J12.2
Parainfluenza virus pneumonia
J12.3
Human metapneumovirus pneumonia
J12.81
Pneumonia due to SARS-associated coronavirus
J12.89
Other viral pneumonia
J12.9
Viral pneumonia, unspecified

Detailed diagnosis choices are available if the organism has been identified
J13
Pneumonia due to Streptococcus pneumonia
J14
Pneumonia due to Hemophilus influenzae
J15.0
Pneumonia due to Klebsiella pneumonia
J15.1
Pneumonia due to Pseudomonas
J15.20
Pneumonia due to staphylococcus, unspecified
J15.211
Pneumonia due to Methicillin susceptible Staphylococcus aureus
J15.212
Pneumonia due to Methicillin resistant Staphylococcus aureus
J15.29
Pneumonia due to other staphylococcus
J15.3
Pneumonia due to streptococcus, group B
J15.4
Pneumonia due to other streptococci
J15.5
Pneumonia due to Escherichia coli
J15.6
Pneumonia due to other aerobic Gram-negative bacteria
J15.7
Pneumonia due to Mycoplasma pneumonia
J15.9
Unspecified bacterial pneumonia due to gram positive cocci
J16.0
Chlamydial pneumonia
J18.8
Other pneumonia, organism unspecified
401.9 Unspecified essential hypertension

Specific types of hypertension should be noted. ICD-10 options include:
I15.1 Hypertension secondary to other renal disorders
I15.2 Hypertension secondary to endocrine disorders
I15.0
Renovascular hypertension
I10
Essential (primary) hypertension
I15.9
Secondary hypertension, unspecified
I97.3
Postprocedural hypertension
K76.6 Portal hypertension
996.74 Other complications due to other vascular device, implant and graft

For prosthetic devices, implants, and grafts must differentiate the following complications: Embolism, fibrosis, hemorrhage, pain, stenosis, thrombosis, other, or unspecified.
T82.818A Embolism of vascular prosthetic devices, implants and grafts, initial encounter
T82.828A
Fibrosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.838A
Hemorrhage of vascular prosthetic devices, implants and grafts, initial encounter
T82.848A
Pain from vascular prosthetic devices, implants and grafts, initial encounter
T82.858A
Stenosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.868A
Thrombosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.898A
Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter
T82.819XXA
Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
868.02 Injury to the intra-abdominal organs without mention of open wound into cavity, bile duct and gall bladder

Note if contusion, laceration, other, or unspecified injury to gallbladder or bile ducts.
S36.129A Unspecified injury of gallbladder, initial encounter
S36.13XA Injury of bile duct, initial encounter
S36.122A
Contusion of gallbladder, initial encounter
S36.123A
Laceration of gallbladder, initial encounter
S36.128A
Other injury of gallbladder, initial encounter
998.11 Hemorrhage complicating a procedure

Should document if hemorrhage was intraoperative or postprocedural, site or organ structure, and whether hemorrhage is complicating or following another procedure. Examples include:
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization
I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass
I97.418
Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure
I97.42
Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure
I97.610
Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following a cardiac catheterization
I97.611
Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following cardiac bypass
996.83 Complications of transplanted heart

Documentation must include if complications was due to rejection or failure. Should note if there is an infection:
T86.20 Unspecified complication of heart transplant
T86.21 Heart transplant rejection
T86.22
Heart transplant failure
T86.23
Heart transplant infection
T86.290
Cardiac allograft vasculopathy
T86.298
Other complications of heart transplant
T86.30
Unspecified complication of heart-lung transplant
T86.31
Heart-lung transplant rejection
T86.32
Heart-lung transplant failure
T86.33
Heart-lung transplant infection
T86.39
Other complications of heart-lung transplant(T86.23).
518.81 Acute Respiratory Failure

Documentation must differentiate between acute and regular respiratory failure as also whether there is hypoxia or hypercapnia:
J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
J96.01
Acute respiratory failure with hypoxia
J96.02
Acute respiratory failure with hypercapnia
J96.91
Respiratory failure, unspecified with hypoxia
J96.92
Respiratory failure, unspecified with hypercapnia
V07.2 Need for prophylactic immunotherapy

One to one match in ICD-10 - (Z41.8: Encounter for other procedures for purposes other than remedying health state)
996.62 Due to vascular device, implant and graft

Exact match in ICD-10 (T82.7XXA) Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
553.21 Incisional hernia without obstruction or gangrene

Exact match in ICD-10 (K43.2)

LIVER & PANCREAS TRANSPLANT

Code Description (ICD-9 codes are in blue)
042 Human immunodeficiency virus [HIV] disease
B20 Human immunodeficiency virus [HIV] disease
070.30 Viral hepatitis B without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta
B16.9 Acute hepatitis B without delta-agent and without hepatic coma
B19.10 Unspecified viral hepatitis B without hepatic coma
070.51 Acute hepatitis C without mention of hepatic coma
B17.10 Acute hepatitis C without hepatic coma
070.70 Unspecified viral hepatitis C without hepatic coma
B19.20 Unspecified viral hepatitis C without hepatic coma
151.9 Malignant neoplasm of stomach, unspecified site
C16.9 Malignant neoplasm of stomach, unspecified
155.1 Malignant neoplasm of intrahepatic bile ducts
C22.1 Intrahepatic bile duct carcinoma
155.2 Malignant neoplasm of liver, not specified as primary or secondary
C22.9 Malignant neoplasm of liver, not specified as primary or secondary
275.03 Other hemochromatosis
E83.118 Other hemochromatosis
E83.119 Hemochromatosis, unspecified
282.60 Sickle-cell disease, unspecified
D57.1 Sickle-cell disease without crisis
285.9 Anemia, unspecified
D64.9 Anemia, unspecified
453.0 Budd-chiari syndrome
I82.0 Budd-Chiari syndrome
530.3 Stricture and stenosis of esophagus
K22.2 Esophageal obstruction
534.90 Gastrojejunal ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction
K28.9 Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
570 Acute and subacute necrosis of liver
K72.00 Acute and subacute hepatic failure without coma
K72.01 Acute and subacute hepatic failure with coma
K76.2
Central hemorrhagic necrosis of liver
571.1 Acute alcoholic hepatitis
K70.10 Alcoholic hepatitis without ascites
K70.11 Alcoholic hepatitis with ascites
571.42 Autoimmune hepatitis
K75.4 Autoimmune hepatitis
571.49 Other chronic hepatitis
K73.1 Chronic lobular hepatitis, not elsewhere classified
K73.2 Chronic active hepatitis, not elsewhere classified
K73.8
Other chronic hepatitis, not elsewhere classified
571.5 Cirrhosis of liver without mention of alcohol
K74.0 Hepatic fibrosis
K74.60 Unspecified cirrhosis of liver
K74.69
Other cirrhosis of liver
571.8 Cirrhosis of liver without mention of alcohol
K75.81 Nonalcoholic steatohepatitis (NASH)
K76.0 Fatty (change of) liver, not elsewhere classified
K76.89
Other specified diseases of liver
572.3 Portal hypertension
K76.6 Portal hypertension
573.8 Other specified disorders of liver
K76.1 Chronic passive congestion of liver
K76.5 Hepatic veno-occlusive disease
K76.89
Other specified diseases of liver
K77
Liver disorders in diseases classified elsewhere
576.1 Cholangitis
K80.30 Calculus of bile duct with cholangitis, unspecified, without obstruction
K80.31 Calculus of bile duct with cholangitis, unspecified, with obstruction
K80.32
Calculus of bile duct with acute cholangitis without obstruction
K80.33
Calculus of bile duct with acute cholangitis with obstruction
K80.34
Calculus of bile duct with chronic cholangitis without obstruction
K80.35
Calculus of bile duct with chronic cholangitis with obstruction
K80.36
Calculus of bile duct with acute and chronic cholangitis without obstruction
K80.37
Calculus of bile duct with acute and chronic cholangitis with obstruction
K83.0
Cholangitis
579.3 Other and unspecified postsurgical nonabsorption
K91.2 Postsurgical malabsorption, not elsewhere classified
578.1 Blood in stool
K92.1 Melena
070.32 Chronic viral hepatitis B without mention of hepatic coma without mention of hepatitis delta
B18.1 Chronic viral hepatitis B without delta-agent
070.54 Chronic hepatitis C without mention of hepatic coma
B18.2 Chronic viral hepatitis C
751.69 Other anomalies of gallbladder, bile ducts, and liver
Q44.0 Agenesis, aplasia and hypoplasia of gallbladder
Q44.1 Other congenital malformations of gallbladder
Q44.4
Choledochal cyst
Q44.5
Other congenital malformations of bile ducts
Q44.7
Other congenital malformations of liver
787.01 Nausea with vomiting
R11.2 Nausea with vomiting, unspecified
782.4 Jaundice, unspecified, not of newborn
R17 Unspecified jaundice
751.61 Biliary atresia
Q44.2 Atresia of bile ducts
Q44.3 Congenital stenosis and stricture of bile ducts
787.20 Dysphagia, unspecified
R13.0 Aphagia
R13.10 Dysphagia, unspecified
787.91 Diarrhea
K52.2 Allergic and dietetic gastroenteritis and colitis
K52.89 Other specified noninfective gastroenteritis and colitis
R19.7
Diarrhea, unspecified
789.59 Other ascites
R18.8 Other ascites
789.01 Abdominal pain, right upper quadrant
R10.11 Right upper quadrant pain
790.4 Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH]
R74.0 Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
790.5 Other nonspecific abnormal serum enzyme levels
R74.8 Abnormal levels of other serum enzymes
R74.9 Abnormal serum enzyme level, unspecified
790.6 Other abnormal blood chemistry
E79.0 Hyperuricemia without signs of inflammatory arthritis and tophaceous disease
R78.71 Abnormal lead level in blood
R78.79
Finding of abnormal level of heavy metals in blood
R78.89
Finding of other specified substances, not normally found in blood
R79.0
Abnormal level of blood mineral
R79.89
Other specified abnormal findings of blood chemistry
R79.9
Abnormal finding of blood chemistry, unspecified
965.4 Poisoning by aromatic analgesics, not elsewhere classified
T39.1X1A Poisoning by 4-Aminophenol derivatives, accidental (unintentional), initial encounter
T39.1X2A Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter
T39.1X3A
Poisoning by 4-Aminophenol derivatives, assault, initial encounter
T39.1X4A
Poisoning by 4-Aminophenol derivatives, undetermined, initial encounter
794.8 Nonspecific abnormal results of function study of liver
R94.5 Abnormal results of liver function studies
V02.62 Hepatitis C carrier
Z22.52 Carrier of viral hepatitis C
V07.2 Need for prophylactic immunotherapy
Z41.8 Encounter for other procedures for purposes other than remedying health state
V12.72 Personal history of colonic polyps
Z86.010 Personal history of colonic polyps
V42.7 Liver replaced by transplant
Z48.23 Encounter for aftercare following liver transplant
Z94.4 Liver transplant status
V42.84 Organ or tissue replaced by transplant, intestine
Z94.82 Intestine transplant status
V59.6 Liver donors
Z52.6 Liver donor