Kidney transplant failure

This code signifies the complete or partial cessation of function of a transplanted kidney. It indicates that the allograft is no longer adequately performing its role in filtering waste and maintaining fluid and electrolyte balance, leading to a decline in the patient's renal health.

Apply this code when a patient with a history of kidney transplantation presents with evidence of allograft dysfunction or non-function, requiring intervention such as dialysis or re-transplantation. This includes acute or chronic rejection, surgical complications leading to graft failure, or recurrent disease in the transplanted kidney.

• Always code an additional diagnosis to specify the underlying cause of the transplant failure (e.g., acute rejection, chronic allograft nephropathy).
• Do not use this code for complications of a kidney transplant that do not involve failure of the organ itself (e.g., post-transplant infection without graft dysfunction).
• Ensure documentation clearly supports the diagnosis of transplant failure, including laboratory values (e.g., elevated creatinine, BUN) and clinical assessment.