I97.4 vs T86
I97.4 (Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure) compared with T86 (Complications of transplanted organs and tissue), 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 carries an Excludes2 note covering I97.4: “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.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure | T86Complications of transplanted organs and tissue | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure is a non-billable ICD-10-CM category code (I97.4). | Complications of transplanted organs and tissue is a non-billable ICD-10-CM category code (T86). |
| 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