{"code":"T86.298","type":"code","title":"Other complications of heart transplant","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["complication of:","artificial heart device (T82.5-)","heart-lung transplant (T86.3-)"],"excludes2":["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)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["T86","T86.0","T86.1","T86.2","T86.290","T86.3","T86.4","T86.5","T86.8","T86.810","T86.811","T86.812","T86.818","T86.819","T86.820","T86.821","T86.822","T86.828","T86.829","T86.830","T86.831","T86.832","T86.838","T86.839","T86.840","T86.8401","T86.8402","T86.8403","T86.8409","T86.841","T86.8411","T86.8412","T86.8413","T86.8419","T86.842","T86.8421","T86.8422","T86.8423","T86.8429","T86.848","T86.8481","T86.8482","T86.8483","T86.8489","T86.849","T86.8491","T86.8492","T86.8493","T86.8499","T86.850","T86.851","T86.852","T86.858","T86.859","T86.890","T86.891","T86.892","T86.898","T86.899","T86.9"],"inclusionTerms":[],"sibling_titles":{"code":"T86.9","title":"Complication of unspecified transplanted organ and tissue","isBillable":false},"useAdditionalCode":["code to identify other transplant complications, such as:","graft-versus-host disease (D89.81-)","malignancy associated with organ transplant (C80.2)","post-transplant lymphoproliferative disorders (PTLD) (D47.Z1)","code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)","code(s) to identify the specified condition resulting from the complication","code to identify devices involved and details of circumstances (Y62-Y82)"],"clinicalDefinition":"Other complications of heart transplant is a billable ICD-10-CM diagnosis code (T86.298). Excludes1 (not coded here): complication of:; artificial heart device (T82.5-); heart-lung transplant (T86.3-). Excludes2 (not included here): 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.","officialDefinition":"Other complications of heart transplant is a billable ICD-10-CM diagnosis code (T86.298). Excludes1 (not coded here): complication of:; artificial heart device (T82.5-); heart-lung transplant (T86.3-). Excludes2 (not included here): 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: code to identify other transplant complications, such as:; graft-versus-host disease (D89.81-); malignancy associated with organ transplant (C80.2); post-transplant lymphoproliferative disorders (PTLD) (D47.Z1).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"any encounters with medical care for postprocedural conditions in which no complications are present, such as:":"T86","artificial opening status (Z93.-)":"T86","closure of external stoma (Z43.-)":"T86","fitting and adjustment of external prosthetic device (Z44.-)":"T86","burns and corrosions from local applications and irradiation (T20-T32)":"T86","complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)":"T86","mechanical complication of respirator [ventilator] (J95.850)":"T86","poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)":"T86","postprocedural fever (R50.82)":"T86","specified complications classified elsewhere, such as:":"T86","cerebrospinal fluid leak from spinal puncture (G97.0)":"T86","colostomy malfunction (K94.0-)":"T86","disorders of fluid and electrolyte imbalance (E86-E87)":"T86","functional disturbances following cardiac surgery (I97.0-I97.1)":"T86","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.-)":"T86","ostomy complications (J95.0-, K94.-, N99.5-)":"T86","postgastric surgery syndromes (K91.1)":"T86","postlaminectomy syndrome NEC (M96.1)":"T86","postmastectomy lymphedema syndrome (I97.2)":"T86","postsurgical blind-loop syndrome (K91.2)":"T86","ventilator associated pneumonia (J95.851)":"T86","code to identify other transplant complications, such as:":"T86","graft-versus-host disease (D89.81-)":"T86","malignancy associated with organ transplant (C80.2)":"T86","post-transplant lymphoproliferative disorders (PTLD) (D47.Z1)":"T86","code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)":"T86","code(s) to identify the specified condition resulting from the complication":"T86","code to identify devices involved and details of circumstances (Y62-Y82)":"T86","complication of:":"T86.2","artificial heart device (T82.5-)":"T86.2","heart-lung transplant (T86.3-)":"T86.2"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"221","label":"Heart Transplant Status/Complications","family":"","suppresses":[]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"186"},{"model":"RxHCC V08","hcc":"396"}]}}