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T86.8412 vs Z44

T86.8412 (Corneal transplant failure, left eye) compared with Z44 (Encounter for fitting and adjustment of external prosthetic device), 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. T86.8412 carries an Excludes2 note covering Z44: “fitting and adjustment of external prosthetic device (Z44.-)”

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

Side by side

T86.8412Corneal transplant failure, left eyeZ44Encounter for fitting and adjustment of external prosthetic device
Billing statusBillableNon-billable header

Report instead: Z44.001, Z44.002, Z44.009, Z44.011, Z44.012

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionCorneal transplant failure, left eye is a billable ICD-10-CM diagnosis code (T86.8412).Encounter for fitting and adjustment of external prosthetic device is a non-billable ICD-10-CM category code (Z44).
Includes
removal or replacement of external prosthetic device
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