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I97.2 vs T86.85

I97.2 (Postmastectomy lymphedema syndrome) compared with T86.85 (Complication of intestine transplant), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T86.85 carries an Excludes2 note covering I97.2: “postmastectomy lymphedema syndrome (I97.2)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I97.2Postmastectomy lymphedema syndromeT86.85Complication of intestine transplant
Billing statusBillableNon-billable header
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPostmastectomy lymphedema syndrome is a billable ICD-10-CM diagnosis code (I97.2).Complication of intestine transplant is a non-billable ICD-10-CM category code (T86.85).
Includes
Elephantiasis due to mastectomy
Obliteration of lymphatic vessels
Use additional code
code to identify other transplant complications, such as:
graft-versus-host disease (D89.81-)
malignancy associated with organ transplant (C80.2)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources