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|Indications for Plasma Exchange |

| |Indication |Code |

|Collagen Vascular |1 |Polymyositis |710.4 |

| |2 |Polyarteritis nodosa |447.6 |

| |3 |Scleroderma |710.1 |

| |4 |Vasculitis |447.6 |

| |

|Dermatology |1 |Pemphigus |694.4 |

| |2 |Dermatomyositis |710.3 |

| |

|Hematology |1 |Crisis CAPS |284.9 |

| |2 |cGVHD | |

| |3 |Cold Agglutinin Disease |283.0 |

| |4 |Cryobulinemia |273.2 |

| |5 |Cutaneous T Cell Lymphona |357.8 |

| |6 |HELLP |000.0 |

| |7 |Red Cell Alloimunization in Pregnancy |773.0 |

| |8 |Hyperviscosity | |

| |9 |Pure Red Cell Aplasia |284.0 |

| |10 |Thrombocytosis |289.9 |

| |11 |TTP |446.6 |

| |12 |aHUS |283.1 |

| |13 |Anti Factor 8 Antibodies |999.8 |

| |

|Metabolic |1 |Hyperlipidemia |272.0 |

| |2 |Hypertriglyceridemia |272.4 |

| |3 |Pruritis (Liver Disease) |000.0 |

| |

|Neurology |1 |ADEM | |

| |2 |CIDP |357.8 |

| |3 |Anti MAG Neuropathy | |

| |4 |Eaton Lambert |358.1 |

| |5 |Guillan Barre |357.0 |

| |6 |MS Variant | |

| |7 |Myasthenia Gravis |358.0 |

| |8 |NMO |340.0 |

| |9 |POEMS |203.3 |

| |10 |Paraneoplastic Syndrome |000.0 |

| |11 |Anti GAD Antibody(incl Stiff Person Syndrome) | |

| |12 |Anti NMDA Antibody | |

| |13 |Sydenham Chorea |292.9 |

| |14 |Transverse Myelitis |357.0 |

| |

|Red Blood Cell |1 |Sickle Cell |282.6 |

| |2 |Malaria | |

| |3 |Babesiosis | |

| |

|Renal |1 |ANCA Pulmonary Hemmorhage |287.0 |

| |2 |ANCA Renal Limited | |

| |3 |Anti GBM Pulmonary Hemmorhage |446.2 |

| |4 |Anti GBM Renal Limited | |

| |5 |FSGS Native Kidney | |

| |6 |FSGS Transplanted Kidney |583.9 |

| |7 |Henoch-Schoenlein Purpura |996.8 |

| |8 |MPGN | |

| |9 |RPGN (not ANCA) |583.4 |

| |

|Transplant |1 |Cardiac Acute Humoral Rejection |996.83 |

| |2 |Liver ABO Incompatible transplant |996.82 |

| |3 |Lung Acute Humoral rejection |996.84 |

| |4 |Lung Transplant Desensitization | |

| |5 |Pancreas Acute Humoral Rejection | |

| |6 |Renal Acute Humoral Rejection |996.8 |

| |7 |Renal Live Donor Desensitization ABO Incompatible | |

| |8 |Renal Live donor Desensitization HLA Incompatible | |

| |9 |Renal Live Donor Desensitization ABO/HLA Incompatible | |

| |10 |Renal Deceased Donor Desensitization | |

| |

|Stem Cell |1 |Autologous | |

| |2 |Allogeneic | |

| |3 |ABO Incompatible |996.85 |

| |4 |DLI | |

|Simple Descriptors of Diseases |

| |Indication |Description |

|Collagen Vascular |1 |Polymyositis | |

| |2 |Polyarteritis nodosa | |

| |3 |Scleroderma | |

| |4 |Vasculitis |Evidence of inflammation of blood vessels in the skin or other organs of patients who do not have |

| | | |Systernic Lupus Erythematosuor P or C ANCA vasculitis or Wegeners Granulomatosus (Granulomatosus |

| | | |Angitis) or microscopic polyangitis or Churg Strauss Vasculitis. ICD Code 447.6 |

| | | | |

| | | |N.B. 2) Lupus (SLE)-Diagnosis of lupus or have ANA positivity with a elevated double stranded DNA |

| | | |antibody and evidence of kidney involvement ICD Code 710.0 |

| |

|Dermatology |1 |Pemphigus | |

| |2 |Dermato-myositis | |

| |

|Hematology |1 |Crisis CAPS | |

| |2 |cGVHD | |

| |3 |Cold Agglutinin | |

| | |Disease | |

| |4 |Cryo-bulinemia | |

| |5 |Cutaneous T Cell | |

| | |Lymphona | |

| |6 |HELLP | |

| |7 |Red Cell | |

| | |Alloimuniz-ation in | |

| | |Pregnancy | |

| |8 |Hyper-viscosity | |

| |9 |Pure Red Cell Aplasia | |

| |10 |Thrombo-cytosis | |

| |11 |TTP | |

| |12 |aHUS | |

| |13 |Anti Factor 8 | |

| | |Antibodies | |

| |

|Metabolic |1 |Hyperlipi-demia | |

| |2 |Hypertri-glyceridemia | |

| |3 |Pruritis (Liver | |

| | |Disease) | |

| |

|Neurology |1 |ADEM | |

| |2 |CIDP | |

| |3 |Anti MAG Neuropathy | |

| |4 |Eaton Lambert | |

| |5 |Guillan Barre | |

| |6 |MS Variant | |

| |7 |Myasthenia Gravis | |

| |8 |NMO | |

| |9 |POEMS | |

| |10 |Paraneoplastic | |

| | |Syndrome | |

| |11 |Anti GAD Antibody | |

| | |(including Stiff | |

| | |Person Syndrome) | |

| |12 |Anti NMDA Antibody | |

| |13 |Sydenham Chorea | |

| |14 |Transverse Myelitis | |

| |

|Red Blood Cell |1 |Sickle Cell | |

| |2 |Malaria | |

| |3 |Babesiosis | |

| |

|Renal |1 |ANCA Pulmonary |Hypersenitivity Angilitis- Patients who have either C or P ANCA vasculitis or Wegeners or |

| | |Hemmorhage |granulomatous vasculitis or microscopic polyangilitis or Strauss vasculitis who often have pulmonary|

| | | |hemorrhage kidney involvement plus or minus skin involvement and nerve involvement ICD code 287.0 |

| |2 |ANCA Renal Limited | |

| |3 |Anti GBM Pulmonary |Goodpasture Syndrome- Patients who suffer from pulmonary hemorrhage and renal failure and either |

| | |Hemmorhage |have anti-glomerular basement membrane, antibodies on serology or linear immunoe-Fluorescence on |

| | | |kidney biopsy. ICD code 446.2 |

| |4 |Anti GBM Renal Limited|Anti GBM Pulmomary Hemorrhage |

| |5 |FSGS Native Kidney |FSGS Native Kidney |

| |6 |FSGS Transplanted |Focal Segmental Glomeruloscerosis–Patients in the immediate post renal transplant period who develop|

| | |Kidney |a nephritic syndrome and on biopsy are known to have focal glomerulscerosis. ICD Code 583.9 |

| |7 |Henoch-Schoenlein |A systemic Vasculitis –Mostly seen in children in which they have joint pain, skin rash – which is |

| | |Purpura |distal and symmetrical, renal and gut involvement |

| | | |ICD code 996.8 |

| |8 |MPGN | |

| |9 |RPGN (not ANCA) | |

| |

|Transplant |1 |Cardiac Acute Humoral |Transplant rejection heart ICD code 996.83 |

| | |Rejection | |

| |2 |Liver ABO Incompatible|Transplant rejection liver ICD code 996.82 |

| | |transplant | |

| |3 |Lung Acute Humoral |Transplant rejection lung ICD code 996.84 |

| | |rejection | |

| |4 |Lung Transplant |Lung Transplant Desensitization |

| | |Desensitiz-ation | |

| |5 |Pancreas Acute Humoral|Pancreas Acute Humoral Rejection |

| | |Rejection | |

| |6 |Renal Acute Humoral |Transplant rejection kidney ICD code 996.8 |

| | |Rejection | |

| |7 |Renal Live Donor |Pre-Transplant category- this is for preparation for patients who are pre-sensitized or ABO |

| | |Desensitiz-ation ABO |incompatible and receive plasma exchange both pre and post live related renal transportation. |

| | |Incompatible |ICDcode 996.8 |

| |8 |Renal Live donor |Renal Live Donor Desensitization HLA Incompatible |

| | |Desensiti-zation HLA | |

| | |Incompatible | |

| |9 |Renal Live Donor |Renal Live Donor Desensitization ABO/HLA Incompatible |

| | |Desensiti-zation | |

| | |ABO/HLA Incompatible | |

| |10 |Renal Deceased Donor |Renal Deceased Donor Desensitization |

| | |Desensiti-zation | |

| |

|Stem Cell |1 |Autologous | |

| |2 |Allogeneic | |

| |3 |ABO Incompatible | |

| |4 |DLI | |

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