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T85.731 vs T86

T85.731 (Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)) 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).

Relationship

Informational

Excludes2 relationship

T85.731
Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)
↔
T86
Complications of transplanted organs and tissue

Distinct conditions — both may be reported.

“failure and rejection of transplanted organs and tissue (T86.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T85.731 carries an Excludes2 note covering T86: “failure and rejection of transplanted organs and tissue (T86.-)”

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

Side by side

T85.731Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)T86Complications of transplanted organs and tissue
Billing statusNon-billable headerNon-billable header

Report instead: T86.00, T86.01, T86.02, T86.03, T86.09

ClassificationS00-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)
DefinitionInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead) is a non-billable ICD-10-CM category code (T85.731).Complications of transplanted organs and tissue is a non-billable ICD-10-CM category code (T86).
7th characterThe appropriate 7th character is to be added to each code from category T85—
Use additional code
code to identify infection
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 other transplant complications, such as:
graft-versus-host disease (D89.81-)
malignancy associated with organ transplant (C80.2)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources