Transplant Reimbursement Codes

International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes

Used By: Transplant Center/Hospital Inpatient, Hospital Outpatient Department, and Physician Office

When to use: All claims.

Diagnosis codes are required to indicate the medical condition for which the drug was given.

Code     Description Code         V42.0       Organ or tissue replaced by transplant, kidney         403.01     Hypertensive renal disease, malignant, with renal failure         403.11       Hypertensive renal disease, benign, with renal failure         403.91       Hypertensive renal disease, unspecified, with renal failure         404.02       Hypertensive heart and renal disease, malignant, with renal failure         404.12       Hypertensive heart and renal disease, benign, with renal failure         404.92       Hypertensive heart and renal disease, unspecified, with renal failure         585       Chronic renal failure         753.10       Cystic kidney disease, unspecified         753.11       Congenital single renal cyst         753.12       Polycystic kidney, unspecified type         753.13       Polycystic kidney autosomal dominant         753.14       Polycystic kidney, autosomal recessive         753.15       renal dysplasia         753.16       Medullary cystic kidney         753.17       Medullary sponge kidney         753.19       Other specified cystic kidney disease         996.81       Complications of transplanted organ, kidney transplant failure or rejection

ICD-9-CM Procedure Codes

Used By: Transplant Center/Hospital Inpatient

When to Use: All inpatient hospitalizations for renal transplant

Code     Description Code         55.61       Renal autotransplantation         55.69       Other kidney transplantation

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