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AHA Coding Clinic® for ICD-9 - 2006 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Transfusion Related Lung Injury (TRALI)

Effective October 1, 2006, code 518.7, has been created to identify transfusion related acute lung injury (TRALI). TRALI is a reaction to the transfusion of whole blood, packed red blood cells, fresh frozen plasma and platelets. Symptoms of dyspnea, cyanosis, hypotension, fever, and bilateral pulmonary edema with normal cardiac function, usually develop within 1-2 hours and are present 4-6 hours after transfusion. While the severity of TRALI ranges from mild to severe, the condition has been reported as the third most common cause of fatal reactions to transfusion. Treatment is based on oxygen therapy and hemodynamic support. When...

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