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Thread: GI bleeding and TRALI

  1. #1

    Exclamation GI bleeding and TRALI

    AAPC: Back to School
    I am a coder for several GI physicians. Recently, one of the gastroenterologists admitted a patient to the hospital for GI bleeding. The patient was given a transfusion of packed red blood, and she developed pulmonary infiltrates. On the face sheet I received the physician listed the final diagnosis of TRALI (Transfusion Associated Lung Injury). How I am having a difficult time coding this case. Please help!

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    Check under, "Complication, transfusion" in your alphabetic index.

    It's right there. Coding Clinic provided some great information on this condition and appropriate coding some time back. You might also want to review that.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007
    Las Vegas, NV

    Red face RE: Coding TRALI - Transfusion-Related Acute Lung Injury


    Here's the code for this TRALI - Transfusion-Related Acute Lung Injury.
    You code the 999.8 -Other Transfusion Infection, and then you code the underlying condition of 518.7- TRALI. So the answer is ICD 9 code 999.8, 518.7. Good Luck and hope I could be of assistance since I had this same issue, too.

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