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M31.11

Billable

Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]

HCC Category Mapping

V28HCC 454Graft-Versus-Host Disease and Stem Cell Transplant Complications
0.000
V24HCC 186Major Organ Transplant or Replacement Status
0.910
ESRDHCC 186Major Organ Transplant or Replacement Status
0.000
RxHCCHCC 395Graft-Versus-Host Disease
0.000

What This Code Means

A serious complication that can occur after bone marrow or stem cell transplantation, where small blood vessels become blocked by clots.

Coding Tips

  • Always link this code to the transplant procedure code
  • Document the timeframe of onset relative to the HSCT procedure

Clinical Significance

HSCT-associated thrombotic microangiopathy is a serious complication of stem cell transplantation with high mortality risk. This condition requires immediate recognition and aggressive management, as it can lead to multi-organ failure in already immunocompromised transplant recipients.

Documentation Requirements

  • Documentation of prior hematopoietic stem cell transplant
  • Timeline showing TMA onset post-transplant
  • Clinical evidence of microangiopathic hemolytic anemia
  • Thrombocytopenia in transplant setting
  • Organ dysfunction assessment
  • Exclusion of other TMA causes
  • GVHD status documentation
  • Treatment modifications for transplant setting

Use Additional Code

  • code to identify specific organ dysfunction, such as:
  • acute kidney failure (N17.-)
  • acute respiratory distress syndrome (J80)
  • capillary leak syndrome (I78.8)
  • diffuse alveolar hemorrhage (R04.89)
  • encephalopathy (metabolic) (septic) (G93.41)
  • fluid overload, unspecified (E87.70)
  • graft versus host disease (D89.81-)
  • hemolytic uremic syndrome (D59.3-)
  • hepatic failure (K72.-)
  • hepatic veno-occlusive disease (K76.5)
  • idiopathic interstitial pneumonia (J84.11-)
  • sinusoidal obstruction syndrome (K76.5)

Code First

  • if applicable:
  • complications of bone marrow transplant (T86.0-)
  • complications of stem cell transplant (T86.5)

Commonly Confused Codes

Code Hierarchy

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