Background Post-transplant diabetes mellitus (PTDM) occurs in 10–30% of kidney transplant recipients. Showing 1-25: ICD-10-CM Diagnosis Code Z94. Background. Z94. language English. 80 had higher mortality than those with a resistive index of less than 0. 00 Read h/o: renal dialysis 14V2. Hepatitis B virus (HBV) infection is a major risk factor for liver injury after kidney transplantation because of the requirement for immunosuppressive therapies []. FSGS recurred in 57 patients (32%; 95% confidence interval [95% CI], 25% to 39%) and 39% of them lost their graft over a median of 5 (interquartile range, 3. This article reviews the current knowledge and challenges of kidney transplantation, including the indications, donor types, immunosuppression, outcomes, complications, and ethical issues. 404A [convert to ICD-9-CM] Unspecified injury of right renal vein, initial encounter. Early Course of the Patient with a Kidney Transplant. 101) performed poorly and. Spontaneous remission of established PTE is observed in one fourth of the patients within 2 years from onset, whereas in the remaining three fourths it persists for several years, only to remit after loss of renal function from rejection. UTIs may impair overall graft and patient survival. 6 Bone transplant status. It accounts for 1–5% cases of post-transplant hypertension [2–4]. 1%, 92. 1%, 92. Herein, we present a special case of allograft dysfunction, wherein the transplant ureter. The prevalence of PTxH among kidney recipients is between 55-90% [ 13 ], [ 14 ]. We aim at identifying factors associated with biopsy proven BKVN among KTR. 0001) ; pre. 13. Renal thrombotic microangiopathy associated with anticardiolipin antibodies in hepatitis C-positive renal allograft recipients. The median (range) follow-up period of the studies was 3. 12 became effective on. ICD-10-CM Codes. In some patients, kidney transplantation alone is not optimal treatment. 12) T86. 5 Questions Perfect Your Erectile Dysfunction ICD-10-CM Coding Report F52. We report a case series of extrarenal pseudoaneurysm after kidney transplant with. 6% (n = 101). Patients after kidney transplantation have a much higher risk of developing malignant tumors than the general population. 20, 22, 67 PVAN damages the. BK virus (BKV) was originally detected in the urine of a renal allograft recipient in whom ureteric stenosis developed and was named based on the initials of the patient (B. Delayed graft function (DGF) is an early manifestation of renal allograft injury and is a relatively common complication seen after deceased donor kidney transplantation (DDKT) 1. Nankivell, in Kidney Transplantation (Sixth Edition), 2008 SUMMARY. [ Read More ] En Bloc Kidney. Kidney allograft survival has increased substantially in the US over the past several decades, with USRDS reporting 93. It may be caused by modifiable and non-modifiable factors. Testing for polyomavirus type BK DNA in plasma to identify renal-allograft recipients with viral nephropathy. Current pillars of transplant monitoring are serum creatinine, proteinuria, and drug blood levels, which are considered as traditional markers, due to. Radiologists play an integral role within the multidisci-plinary team in care of the transplant patient at every stage of the transplant process. The revised Banff 2017 classification of ABMR defines active (previously called acute) and chronic active ABMR as conditions in which histologic evidence of acute and chronic injury is associated with. 19) T86. 19 became effective on October 1, 2023. Introduction. ICD-10-CM Codes. 81 - other international versions of ICD-10 Z94. The age range varied between 16 and 80 years (Table 1). 0: Kidney transplant status [not covered for prediction of graft outcomes in kidney transplantation] Urinary neutrophil gelatinase-associated lipocalin (NGAL) and liver-type fatty acid-binding protein (L-FABP): No specific code: ICD-10 codes not covered for indications listed in. The causes for graft loss are predominantly acute T cell-mediated rejection (TCMR), primary non-function in case of deceased donor donation, surgical complications, and increased risk of death because of. 68 In the United States, the. 2 percent, respectively, for kidney allografts and. One of the most crucial factors that affect the risk of CMV infection in post-renal transplant recipients is the preoperative. 100), and the first date. Z1 became effective on October 1, 2023. We present here the case of a renal transplant recipient who presented with a fever of unknown origin and received a. 13 became effective on October 1, 2023. ”. For kidney allograft failure, the survival time was calculated from the date of transplant to the date of graft failure defined by a return to dialysis, kidney retransplant, or patient death. 81 and 584. 11 - kidney transplant rejection Epidemiology. " Long description: "Acute graft versus host disease due to kidney transplant; Acute on chronic graft versus. Get crucial instructions for accurate ICD-10-CM Z94 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. 0, B25. Background Pregnancy after kidney transplantation has been considered as high risk for maternal and fetal complications. Urinary lithium concentration was measured using inductively coupled plasma mass spectrometry in 642 stable kidney transplant recipients (KTRs). In the transplant, timing is less straightforward. Chronic allograft nephropathy (CAN) is defined as renal allograft dysfunction that occurs at least 3 months after transplantation and independent of acute rejection, drug toxicity, or other disease. Z48. This is the American ICD-10-CM version of N28. Am J Transplant. Three other single-center retrospective studies reported, like our group, either a complete resolution or a significant improvement of NODAT after conversion from tacrolimus to cyclosporine in renal allograft recipients (47–49). The incidence and pathological processes involved in chronic. RCC in donor. Among 11,742 kidney transplant recipients screened for FSGS, 176 had a diagnosis of idiopathic FSGS and were included. Chronic glomerulonephritis (41%) was the most common indication of renal transplantation. Kidney allograft failure is one of the most common causes of end-stage kidney disease (ESKD), accounting for 25 to 30 percent of patients awaiting kidney transplantation. In this article, we will present an overview of the common transplant-specific AKI etiologies that include increased susceptibility to hemodynamic-mediated AKI, acute. 2020. It is important to recognize that some renal transplant recipients with UTI may primarily present with fever, malaise, leukocytosis, or a non-specific sepsis syndrome without symptoms localized to the urinary tract. 8 years). The ICD-10 code for graft failure (T86. Prevalence of hypertension and abnormal BP phenotypes by the various metrics and definitions. Introduction. Transplanted organ and tissue status (Z94) Kidney transplant status (Z94. Transplant renal artery stenosis is the most frequent vascular complication of transplantation. 2 Aims of Induction Therapy. It also discusses the future directions and research opportunities in this field. 1. 61, I71. 0 may differ. 24 × 10 7 and 1. Development of algorithm to identify AMR in Centers for Medicare & Medicaid Services (CMS) claims data. For patient death, patients were followed up until death or. However, progressive kidney allograft functional deterioration remains unchanged despite of major advances in the field. Introduction. The following ICD-10-CM code has been added to the article: Group 2: I1A. A total of 2820 transplant kidney biopsies were performed at our center between January 1, 1998, and December 31, 2019. PloS One 10 , e0138944. Recipients were followed up to graft failure, death, or end of follow up at 5 years post transplantation, whichever was earliest. 7, 10, 19, 24, 26-28 Such an early diagnosis requires: (a) proper risk assessment of renal allograft recipients, and (b) optimal timing of a. The use of dd-cfDNA as a marker of allograft rejection in the setting of immune checkpoint inhibitor therapy is further supported by a case from Hurkmans et al, 11 who described a kidney transplant recipient treated with nivolumab (anti-PD-1) for metastatic melanoma. Polyomavirus nephropathy (PVN) is primarily caused by a productive intra-renal BK virus infection. 84 became effective on October 1, 2023. 10. Adenovirus was isolated from his urine. However, the demand for kidneys continues to outgrow the available supply, and there are efforts. The code is valid during the current fiscal year for the submission of. 11 [convert to ICD-9-CM] Kidney transplant rejection. The coder should not assume that this kidney disease is a complication of the transplant, unless the physician documents the link. Avoid lifting objects weighing more than 10 pounds or exercising other than walking until the wound has healed (usually about six weeks after surgery). Chronic kidney disease (CKD) is increasing in most countries and kidney transplantation is the best option for those patients requiring renal replacement therapy. Renal allotransplantation, implantation of graft; without recipient nephrectomy. There were 48 patients without DSAs; of those with DSAs, ABMR emerged in 20. Introduction. T86. topRestrictive allograft syndrome. Loss of a renal allograft as a complication of biopsy is rare. Volume overload presenting with peripheral edema, pulmonary congestion, or HTN may occur when the establishment allograft function lags behind the volume resuscitation provided. 11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Despite increased rates of delayed graft function (DGF) after DCD kidney transplantation, first-time recipients of DCD kidneys (n = 739) or DBD kidneys (n = 6,759) showed no difference in 5-year graft survival (HR 1. The majority of PVAN after. Poorly controlled hypertension is common among renal transplant recipients and associated with graft failure and high mortality . 1 The first marker of. Allogeneic stem cell transplantation (HSCT) is a procedure in which a portion of a healthy donor's stem cell or bone marrow is obtained and prepared for intravenous infusion. Abstract. Complications of surgical and medical care, not elsewhere classified. 19 became effective on. We included first time, kidney transplant recipients aged ≥ 18 years who were transplanted between July 1, 2008, to May 31, 2019. Early detection and correction reduce patients' morbidity and allograft dysfunction. • Preferentially used to higher-risk recipients (age above 60 y, dialysis access problems), and after informed consent. BK virus nephropathy (BKVN) was first described in a renal transplant recipient (RTR) presenting with transplant ureteric stenosis and was named after the initials of the patient. 12 [convert to ICD-9-CM] Kidney transplant failure. Background Page kidney (PK) is the occurrence of kidney hypoperfusion and ischemia due to pressure on the kidney by a subcapsular hematoma (SH), a mass, or fluid collection. Reported risk factors for cardiovascular disease in kidney transplant recipients include inflammatory and immunosuppressive agents, episodes of allograft rejection, as well as traditional cardiovascular risk factors, such as hypertension, hyperlipidemia, smoking, obesity, chronic kidney disease, proteinuria, and diabetes. This is the American ICD-10-CM version of T86. Data. Chronic kidney disease (CKD) is increasing in most countries and kidney transplantation is the best option for those patients requiring renal replacement therapy. For each study participant, we determined the first date of a hospital encounter with a discharge code for kidney transplant rejection (T86. The liver graft is the most well-tolerated, from an immunological perspective, of all solid organ transplants. Kidney transplant failure Billable Code. 11. 2013;13(4):984-992. Messenger RNA for FOXP3 in the urine of renal-allograft recipients. This is the American ICD-10-CM version of Z94. Some kidneys do not regain function even with maximal antirejection therapy. 4% (n = 101) as male and 33. In the American study, 719 renal allograft recipients were randomly assigned to receive 2 mg/d SRL, 5 mg/d SRL or azathioprine (AZA) [ 12]. 49, T86. Post renal transplantation, PVN has emerged as a major problem affecting up to 10% of all kidney grafts, most. Z94. Recent Findings Transplant nephrectomy has high morbidity and mortality rates. However, asymptomatic bacteriuria (AB) must be distinguished from UTI because AB is not necessarily a disease state. The causes for graft loss are predominantly acute T cell-mediated rejection (TCMR), primary non-function in case of deceased donor donation, surgical complications, and increased risk of death because of cardiovascular events or infection. Chronic allograft. Type 1 Excludes. With currently used combination therapies, 1 year acute rejection rates have decreased to 10 - 15% Sites. Under Article Text revised the title of the table to read, “Solid Organ Allograft Rejection Tests that meet coverage criteria of policy L38568” and revised the table to add the last row. Kidney transplant status. Chronic renal failure after liver transplantation (LT) is significantly more frequent than after lung or heart transplantation and it results in an increased short and long-term mortality. 89 became effective on October 1, 2023. Among 11,742 kidney transplant recipients screened for FSGS, 176 had a diagnosis of idiopathic FSGS and were included. A total of 51 subjects were enrolled and 3 or more baseline dd-cfDNA measurements were attained during a. 4) and 1 procedural code for kidney procurement/excision (1PC58, 1PC89, 1PC91). Acute kidney injury (AKI) is common in kidney transplant recipients. Recipient nephrectomy (separate procedure) 50360. Importantly, long-term patient outcomes and graft survival after kidney. During our study period, among 5234 KT recipients, 568 subjects experienced incident. Posttransplantation diabetes mellitus (PTDM) is an important metabolic complication after KT that causes graft failure and cardiovascular complications in kidney transplantation (KT) recipients. Sadegal et al. Compared to the reference standard, this algorithm had a sensitivity of 97% and a PPV of 90%. Showing 1-25: ICD-10-CM Diagnosis Code Z94. Showing 1-25: ICD-10-CM Diagnosis Code Z94. Transplant renal artery stenosis (TRAS) is the narrowing of the transplant renal artery, impeding blood flow to the allograft. Significant contributions to the clinical outcome of hypertensive KTR are age, BMI, time after the surgery, gender, presence of chronic. It accounts for 1–5% cases of post-transplant hypertension [2–4]. It remains the most common cause of graft dysfunction and loss in children following renal transplantation. Muthukumar T, Dadhania D, Ding R, et al. Injury, poisoning and certain other consequences of external causes. 101690. The provider does not remove a kidney (nephrectomy) from the recipient. In terms of kidney function, KT recipients with a longer functional graft showed lower stages of depression 33. 81: Complications of transplanted kidney; ICD-10. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Hospital admission following acute kidney injury in kidney transplant recipients is associated with a negative impact on graft function after 1-year. Baseline Characteristics. Methods Computerized records from Taichung Veterans General Hospital were collected to identify renal transplant biopsies performed in the past 7 years. Further, severity of AKI proportionately increases the risk of graft failure which was evidenced in our study with four recipients out of 64 in stage 1, 8 out of 38 recipients in stage 2 and all the 10 recipients of stage 3 of AKIN criteria progressed to CKD which was comparable to the study of Nakamura et al. Morbidity and mortality from UTI can be caused by recurrent. Injury, poisoning and certain other consequences of external causes. 0 [convert to ICD-9-CM] Kidney transplant status. Similarly, 10-year graft survival was better in the RAAS blockade group when compared with the non-RAAS blockage group (59% vs 41%, p = 0. Z52. 500 results found. This is substantially better than our earlier series of 89. During a 50340 procedure, the patient, which is the kidney recipient, is placed in the supine position. 0: Malignant neoplasm of extrahepatic bile duct: T86. However, renal allograft. The Organ Procurement and Transplantation Network database in the USA shows that 50% of patients with delayed graft function start to recover renal function by day 10 after transplantation, whereas 33% regain function by day 10–20, and 10–15% do so subsequently. While several. 19 is a billable diagnosis code used to specify a medical diagnosis of other complication of kidney transplant. 5 It is unclear whether kidney disease progresses more. Radiologists play an integral role within the multidisci-plinary team in care of the transplant patient at every stage of the transplant process. The definition of DGF is not consistent in the literature. 11) does not distinguish between T-cell mediated and antibody-mediated rejection, and this ICD-10 code was only added recently. 6%), and death (2. There has been a dramatic reduction in the incidence of acute rejection due to the introduction of potent immunosuppressive drugs in the past three decades. Renal artery thrombosis is the leading cause of infarction. Baseline Characteristics. Stuart J. code to identify other transplant complications, such as:; graft-versus-host disease (D89. Abstract. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1. 1,8 The emergence of bacteria that are. 23 may differ. Candidates for this combined procedure are typically younger than 50 years and do not have significant coronary artery disease (CAD). You have one code, 50340 (Recipient nephrectomy (separate procedure)), to report for a recipient nephrectomy. T86. This is the American ICD-10-CM version of J4A. The 2024 edition of ICD-10-CM T86. The 2024 edition of ICD-10-CM Z52. The 2024 edition of ICD-10-CM D47. 9, 23, 24, 28, 38, 39 Furthermore, patients with end-stage kidney disease may receive transfusions causing additional sensitizing events, either as part of the transplant nephrectomy (which can be a blood operation due to chronic allograft scarring and acute inflammation from GIS), in response to anemia driven by CKD and/or a chronic. Among kidney transplant recipients, BKPyV reactivation is common. Little is known about fetal outcomes and data is particularly scarce on childrens´ early development up to two years when born to kidney/−pancreas. Right renal vein injury. doi: 10. Renal allotransplantation, implantation of graft; without recipient nephrectomy. Transplant renal biopsy carries a lower complication rate than native renal biopsy. 4, and 57. 01 - I24. However,. This is the American ICD-10-CM version of D47. Z94. (CR 1132) 08/1999 - Removed requirement that procedure must be performed simultaneously with or after a Medicare covered kidney transplant. 6%, respectively . 81 Bone marrow transplant status. BK virus nephropathy (BKVN) is an entity that occurs in up to 10% of renal transplant recipients and can result in graft loss in up to 50% of those affected . Ninth Revision (ICD-9) codes 410–447 . 11 became effective on. Infection is an important cause of morbidity and mortality after kidney transplantation. 850 - T86. History of kidney transplant; History of renal transplant. Complications of transplanted organs and tissue (T86) Kidney transplant rejection (T86. Ten kidney transplant recipients tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by polymerase chain reaction, and 9 were admitted. Renal transplantation is the definitive therapy for patients suffering from end-stage renal disease. ICD coding. Objective To evaluate risk factors affecting pregnancy, perinatal outcomes and graft condition in women who underwent renal transplantation. T86. 7% of recipients at 1 year post-transplant and in 89. They concluded that the use of RAAS blockers was associated with longer patient and graft survival and more frequent use of these medications may reduce the incidence of renal allograft failure in KTRs . Since its initial conception in 1991 for renal transplants, it has undergone review every 2 years, with attendant updated publications. BK virus was first isolated in 1970 from a kidney transplant recipient with a ureteric stricture. This systematic review aimed to establish the clinical impact of statins in cardiac allograft recipients, critically appraising the literature on this subject. Transplant renal artery stenosis (TRAS) is the narrowing of the transplant renal artery, impeding blood flow to the allograft. 1 mg/dL), but his BKV still positive with BKV load in the urine and plasma were recently detected at 1. 218 The adjusted hazard ratios of. ICD-10-CM Diagnosis Code T86. Effective and. No ICD-10 or Current Procedural Terminology (CPT) billing code specific to AMR exists The only ICD-10 code related to kidney transplant rejection (T86. Abstract. Z1 - other international versions of ICD-10 D47. 4 - other international versions of ICD-10 Z94. Results. Introduction. Kidney transplant failure. Various factors influence the graft survival, infections being most common. In a recent similar publication, we described the validity of a biomarker in kidney transplant recipients in detecting silent rejection on biopsy in patients with stable graft function. 1%, 92. BKV-mediated allograft dysfunction has been retrospectively identified in 1 to 5 percent of renal-transplant recipients, but the incidence of BKV nephropathy, risk factors for it, and appropriate. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. The 2024 edition of ICD-10-CM N28. These charges are not considered for the IPPS outlier calculation when a procedure code beginning with 556 is reported. 97). In this article, we briefly discuss. According to data from the OPTN, for individuals receiving primary kidney transplants between 2008 and 2015, the 1-, 3- and 5-year survival rates were 97. The calcineurin inhibitor (CNI) tacrolimus (TAC), a macrolide lactone isolated from Streptomyces tsukubaensis, is the cornerstone of most immunosuppressive regimens in solid organ transplantation. Of the 101 kidney biopsies, 65 (64%) had a positive urinalysis at the time of biopsy and were included in the UA+ group and 36 (35. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1%,. De novo HCV infection was detected at 3 months post-KT in one recipient (1. The routine surveillance of kidney transplant allografts has relied on imperfect non-invasive biomarkers such as creatinine and urinary indices, while the gold standard allograft biopsy is associated with risk of bleeding, organ injury and sampling errors. According to data from the OPTN, for individuals receiving primary kidney transplants between 2008 and 2015, the 1-, 3- and 5-year survival rates were 97. ICD-10-CM Diagnosis Code R19. History of kidney transplant; History of renal transplant. Antibody-mediated rejection (ABMR) is the leading immunological cause of graft loss in kidney transplant recipients 1. Chronic allograft dysfunction (CAD) is considered the leading cause of late allograft loss. mcna. The 2024 edition of ICD-10-CM T86. 3%, respectively. The total number of living kidney transplant recipients with a functioning graft is projected to surpass 250,000 in the next few years. 4 became effective on October 1, 2023. 12 became effective on October 1, 2023. 3%, respectively. Immune checkpoint inhibitors (ICIs) revolutionized the treatment of cancer and have changed the. After careful patient selection successful pregnancies are described. Effect of long-term immunosuppression in kidney-graft recipients on cancer incidence: randomised. 21 for ED due to a mental disturbance. Tacrolimus is one of the most commonly used immunosuppressant with kidney transplant patients because it provides better allograft survival and lower incidence of calcineurin inhibitor. A. This topic will review the epidemiology, microbiology, pathogenesis, clinical manifestations, screening, diagnosis, and management of BKPyV infection in kidney. Provide the standard kidney acquisition charge on revenue code 081X. The reactivation of BK virus in renal transplant recipients is largely asymptomatic, and routine surveillance especially in the first 12–24 months after transplant is necessary for early recognition and intervention. Z codes represent reasons for. Z94. 04/2000 - Corrected ICD-9-CM code from 52. INTRODUCTION. Antibody-mediated rejection (AMR) is the most common cause of late allograft loss after kidney transplantation [1–3]. It accounts for 1–5% cases of post-transplant hypertension . FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 19 may differ. 89 became effective on October 1, 2023. T86. 1 became effective on October 1, 2023. After the first. The investigators. Donor-specific antibodies have become an established biomarker predicting antibody-mediated rejection. Radiologists play an integral role within the multidisci-plinary team in care of the transplant patient at every stage of the transplant process. Rationale and Objective. The. C. BK is a circular, double-stranded DNA virus from the polyomavirus family. Abstract. By 10 years, after kidney transplant, up to 25% have developed de novo DSA (dnDSA). 7 Corneal transplant status. This is the American ICD-10-CM version of Z94. Despite increased rates of delayed graft function (DGF) after DCD kidney transplantation, first-time recipients of DCD kidneys (n = 739) or DBD kidneys (n = 6,759) showed no difference in 5-year graft survival (HR 1. Urinary CCL-2 as marker for. 19 - other international versions of ICD-10 T86. 9% and 86. Most data are for the clear-cell type. SH after renal transplantation may result in kidney ischemia and graft loss. The authors concluded that patient survival rates and graft survival rates for pancreas and kidney were similar among the 3 groups evaluated in this study. ICD-10 codes contraindicated for this CPB (not all-inclusive): A00. For 50323, a donor kidney is prepared for transplant from a cadaver or living donor. A large proportion (63–100%) of E. However, the simultaneous development of bilateral renal tumors is very rare; especially the bilateral native kidneys harbor different pathological types of renal cell. 00 Read transplantation of kidney. INTRODUCTION Graft Loss and Mortality. Background: Antibody-mediated rejection (AMR) is one of the leading causes of graft loss in kidney transplant recipients but little is known about the associated cost and healthcare burden of AMR. Acute kidney transplant rejection; Acute rejection of renal transplant; Chronic rejection. The cumulative incidence of chronic renal failure (e GFR < 30 ml/min/1. 4 Kidney donorcadaveric kidney graft [6–8]. Complications of transplanted organs and tissue (T86) Kidney transplant failure (T86. 19 became effective on October 1, 2023. ICD-10-CM Diagnosis Code Z94. Increasing donor or recipient age, repeat transplantation, and CIT >12 h were. This is due either. The consequences of UTIs in this population are serious, with increased morbidity and hospitalisation rates as well as acute allograft dysfunction. It is often an iatrogenic complication due to long term over immunosuppression and frequently leads to chronic kidney dysfunction and failure. Cancer diagnoses were classified using the International Classification of Disease ver. 3%, respectively. At least 18 different heterogeneous criteria were identified in a systematic review []. 9: Sepsis, unspecified organism: C24. 0 became effective on October 1, 2023. Hospital admission following acute kidney injury in kidney transplant recipients is associated with a negative impact on graft function after 1-year. 50365. This was the first year ICD-10-CM was implemented into the HIPAA code set. 83–1. Antibody-mediated rejection is the leading cause of graft loss after kidney transplant. One- and three-year graft survival showed only a. A follow-up second renal allograft biopsy 4 months later after BAS. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . Hence, the coder would assign 996. The differential diagnosis is broad and includes multiple infectious etiologies.