Liver transplant failure

This code signifies the complete or partial inability of a transplanted liver to function adequately, leading to severe clinical deterioration. It indicates that the allograft is failing to perform its essential metabolic and synthetic functions, often requiring re-transplantation or advanced life support.

Apply this code when a patient who has undergone a liver transplant experiences signs and symptoms of graft dysfunction that progress to failure. This includes situations where the transplanted liver is no longer viable or is causing life-threatening complications due to its inability to function.

• Always sequence this code as a principal diagnosis when the liver transplant failure is the primary reason for the encounter.
• Code any associated complications, such as acute kidney injury or coagulopathy, as secondary diagnoses.
• Distinguish from transplant rejection (T86.40, T86.41) unless the rejection has progressed to complete organ failure.