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ICD-10 Guide
ICD-10 CodesC80.2

C80.2

Billable

Malignant neoplasm associated with transplanted organ

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C80.2 is a billable code used to indicate a diagnosis of malignant neoplasm associated with transplanted organ.

Key Diagnostic Point:

C80.2 refers to malignant neoplasms that arise in the context of a transplanted organ. This code is used when a patient develops cancer in an organ that has been transplanted, such as a kidney, liver, heart, or lung. The development of malignancy in a transplanted organ can be attributed to several factors, including immunosuppressive therapy, which is necessary to prevent organ rejection but can increase the risk of certain cancers. The neoplasms may be primary tumors originating from the transplanted organ or metastatic disease from an unknown primary site. Staging of the cancer is crucial for treatment planning and prognosis, and palliative care considerations are essential for managing symptoms and improving quality of life, especially in advanced cases. Accurate coding requires thorough documentation of the patient's transplant history, the type of malignancy, and any relevant treatment details.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of transplant history
  • Differentiation between primary and metastatic tumors
  • Staging requirements for accurate coding
  • Potential for multiple malignancies in immunosuppressed patients

Audit Risk Factors

  • Inadequate documentation of the transplant history
  • Failure to specify the type of malignancy
  • Incorrect staging of the cancer
  • Misidentification of primary versus metastatic disease

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients with renal transplants developing renal cell carcinoma.

Billing Considerations

Need for clear documentation of the relationship between the transplant and the malignancy.

Transplant Surgery

Documentation Requirements

Surgical reports, follow-up care notes, and immunosuppressive therapy details.

Common Clinical Scenarios

Patients experiencing complications post-transplant, including malignancies.

Billing Considerations

Documentation of the transplant procedure and any subsequent malignancies is critical.

Coding Guidelines

Inclusion Criteria

Use C80.2 When
  • According to ICD
  • 10 guidelines, C80
  • 2 should be used when a malignant neoplasm is confirmed in a transplanted organ
  • It is important to document the type of transplant and the nature of the malignancy

Exclusion Criteria

Do NOT use C80.2 When
  • Exclusion criteria include cases where the malignancy is unrelated to the transplant

Related ICD-10 Codes

Related CPT Codes

99223CPT Code

Initial hospital care, typically 70 minutes or more

Clinical Scenario

Used for initial evaluation of a patient with a malignant neoplasm post-transplant.

Documentation Requirements

Comprehensive history and examination, including transplant history.

Specialty Considerations

Oncology specialists should document the relationship between the transplant and the malignancy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignancies associated with transplanted organs, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignancies associated with transplanted organs, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What documentation is required for coding C80.2?

Documentation must include the patient's transplant history, the type of malignancy, staging information, and any treatment plans. It is essential to clearly link the malignancy to the transplanted organ.