Dialysis Admission After A Transplant

Updated 10/30/2023

Admit Reason: Dialysis in Support of Transplant 

https://mycrownweb.org/wp-content/uploads/2022/08/EQRS-Patient-Admit_Discharge-Guidance_FINAL508.pdf

• This Admit Reason should be used when providing ‘kick-start’ dialysis to transplant patients
• It does not discharge the patient from their Transplant Center

After the patient completes ‘kick-start’ dialysis, the facility can discharge them as one of 2 new discharge reasons:

1. Discharge Reason: Delayed Function Resolved following a Transplant: 
   • This is when dialysis support is no longer needed; transplant kidney works as expected 
2. Discharge Reason: Delayed Function Unresolved following a Transplant: 
   • This is when dialysis support was not successful, and the transplant kidney fails to work
   • If function is UNRESOLVED, the transplant center can then discharge the patient as Transplant Failed
   • The Dialysis facility can then admit patient as Dialysis after Transplant Failed
     

After admitting as Transplant Failed --> Notify the Transplant Center and/or Network to change the Transplant Status to "Non-Functioning" so you can complete the Re-Entitlement 2728 Form (if txp failed after 3 years).