T82.5 vs T86.2
T82.5 (Mechanical complication of other cardiac and vascular devices and implants) compared with T86.2 (Complications of heart transplant), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
Yes, when both are documented. T82.5 carries an Excludes2 note covering T86.2: “failure and rejection of transplanted organs and tissue (T86.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
No — do not report together. T86.2 carries an Excludes1 note covering T82.5: “artificial heart device (T82.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| T82.5Mechanical complication of other cardiac and vascular devices and implants | T86.2Complications of heart transplant | |
|---|---|---|
| Billing status | Non-billable header Report instead: T82.510A, T82.510D, T82.510S, T82.511A, T82.511D | Non-billable header |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Mechanical complication of other cardiac and vascular devices and implants is a non-billable ICD-10-CM category code (T82.5). | Complications of heart transplant is a non-billable ICD-10-CM category code (T86.2). |
| 7th character | The appropriate 7th character is to be added to each code from category T82 | — |
| Use additional code | 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) | 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