2017/18 ICD-10-CM Diagnosis Code T86

Complications of transplanted organs and tissue

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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify other transplant complications, such as:
  • graft-versus-host disease (
    ICD-10-CM Diagnosis Code D89.81

    Graft-versus-host disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code First
    • underlying cause, such as:
    • complications of transplanted organs and tissue (T86.-)
    • complications of blood transfusion (T80.89)
    Use Additional
    • code to identify associated manifestations, such as:
    • desquamative dermatitis (L30.8)
    • diarrhea (R19.7)
    • elevated bilirubin (R17)
    • hair loss (L65.9)
    D89.81-
    )
  • malignancy associated with organ transplant (
    ICD-10-CM Diagnosis Code C80.2

    Malignant neoplasm associated with transplanted organ

      2016 2017 2018 Billable/Specific Code
    Code First
    • complication of transplanted organ (T86.-)
    Use Additional
    • code to identify the specific malignancy
    C80.2
    )
  • post-transplant lymphoproliferative disorders (PTLD) (
    ICD-10-CM Diagnosis Code D47.Z1

    Post-transplant lymphoproliferative disorder (PTLD)

      2016 2017 2018 Billable/Specific Code
    Code First
    • complications of transplanted organs and tissue (T86.-)
    D47.Z1
    )
The following code(s) above T86 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T86:
  • S00-T88
    2018 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T80-T88
    2018 ICD-10-CM Range T80-T88

    Complications of surgical and medical care, not elsewhere classified

    Type 2 Excludes
    • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
    • artificial opening status (Z93.-)
    • closure of external stoma (Z43.-)
    • fitting and adjustment of external prosthetic device (Z44.-)
    • burns and corrosions from local applications and irradiation (T20-T32)
    • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
    • mechanical complication of respirator [ventilator] (J95.850)
    • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
    • postprocedural fever (R50.82)
    • specified complications classified elsewhere, such as:
    • cerebrospinal fluid leak from spinal puncture (G97.0)
    • colostomy malfunction (K94.0-)
    • disorders of fluid and electrolyte imbalance (E86-E87)
    • functional disturbances following cardiac surgery (I97.0-I97.1)
    • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
    • ostomy complications (J95.0-, K94.-, N99.5-)
    • postgastric surgery syndromes (K91.1)
    • postlaminectomy syndrome NEC (M96.1)
    • postmastectomy lymphedema syndrome (I97.2)
    • postsurgical blind-loop syndrome (K91.2)
    • ventilator associated pneumonia (J95.851)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Complications of surgical and medical care, not elsewhere classified
Code History
Code annotations containing back-references to T86:
ICD-10-CM Codes Adjacent To T86
T85.890D …… subsequent encounter
T85.890S …… sequela
T85.898 Other specified complication of other internal prosthetic devices, implants and grafts
T85.898A …… initial encounter
T85.898D …… subsequent encounter
T85.898S …… sequela
T85.9 Unspecified complication of internal prosthetic device, implant and graft
T85.9XXA …… initial encounter
T85.9XXD …… subsequent encounter
T85.9XXS …… sequela
T86 Complications of transplanted organs and tissue
T86.0 Complications of bone marrow transplant
T86.00 Unspecified complication of bone marrow transplant
T86.01 Bone marrow transplant rejection
T86.02 Bone marrow transplant failure
T86.03 Bone marrow transplant infection
T86.09 Other complications of bone marrow transplant
T86.1 Complications of kidney transplant
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.