InnovaRx Innova Health Strategies

M31.11

Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 11 never code together
M30-M36block
Excludes1
  • autoimmune disease, single organ or single cell-type -code to relevant condition category
M00-M99chapter
Excludes2
  • arthropathic psoriasis (L40.5-)L40.5-
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • compartment syndrome (traumatic) (T79.A-)T79.A-
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 22
M31.11code
Inclusion terms
  • Transplant-associated thrombotic microangiopathy [TA-TMA]
Code first
  • if applicable:
  • complications of bone marrow transplant (T86.0-)T86.0-
  • complications of stem cell transplant (T86.5)T86.5
Use additional code
  • code to identify specific organ dysfunction, such as:
  • acute kidney failure (N17.-)N17.-
  • acute respiratory distress syndrome (J80)J80
  • capillary leak syndrome (I78.8)I78.8
  • diffuse alveolar hemorrhage (R04.89)R04.89
  • encephalopathy (metabolic) (septic) (G93.41)G93.41
  • fluid overload, unspecified (E87.70)E87.70
  • graft versus host disease (D89.81-)D89.81-
  • hemolytic uremic syndrome (D59.3-)D59.3-
  • hepatic failure (K72.-)K72.-
  • hepatic veno-occlusive disease (K76.5)K76.5
  • idiopathic interstitial pneumonia (J84.11-)J84.11-
  • sinusoidal obstruction syndrome (K76.5)K76.5
M30-M36block
Includes
  • autoimmune disease NOS
  • collagen (vascular) disease NOS
  • systemic autoimmune disease
  • systemic collagen (vascular) disease
M00-M99chapter
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Index entries leading here 2
  • Microangiopathy (peripheral) I73.9
    • thrombotic M31.10
      • hematopoietic stem cell transplantation-associated [HSCT-TMA] M31.11
  • HSCT-TMA (hematopoietic stem cell transplantation-associated thrombotic microangiopathy) M31.11
Alongside this code 2 same parent — M31.1
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC186 CMS28HCC454 ESRD21HCC186 ESRD24HCC186 RX08HCC395

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
M31.1
Block
M30-M36
Siblings
2

Present FY2024–FY2027.