T86.841 ICD-10-CM Code: Corneal transplant failure
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 22 Excludes2 · 7 use-additional codes
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for T86.841 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on T86.841 itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- mechanical complications of corneal graft (T85.3-) inherited from T86.84Compare T86.841 vs T85.3 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) inherited from T80-T88Compare T86.841 vs Z93 →
- closure of external stoma (Z43.-) inherited from T80-T88Compare T86.841 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) inherited from T80-T88Compare T86.841 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) inherited from T80-T88Compare T86.841 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) inherited from T80-T88Compare T86.841 vs O00 →
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6) inherited from T80-T88Compare T86.841 vs T36 →
- postprocedural fever (R50.82) inherited from T80-T88Compare T86.841 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) inherited from T80-T88Compare T86.841 vs G97.0 →
- colostomy malfunction (K94.0-) inherited from T80-T88Compare T86.841 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) inherited from T80-T88Compare T86.841 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) inherited from T80-T88Compare T86.841 vs I97.0 →
- 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.-) inherited from T80-T88Compare T86.841 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) inherited from T80-T88Compare T86.841 vs J95.0 →
- postgastric surgery syndromes (K91.1) inherited from T80-T88Compare T86.841 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) inherited from T80-T88Compare T86.841 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) inherited from T80-T88Compare T86.841 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) inherited from T80-T88Compare T86.841 vs K91.2 →
- ventilator associated pneumonia (J95.851) inherited from T80-T88Compare T86.841 vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify other transplant complications, such as:
- graft-versus-host disease (D89.81-) inherited from T86
- malignancy associated with organ transplant (C80.2) inherited from T86
- post-transplant lymphoproliferative disorders (PTLD) (D47.Z1) inherited from T86
- Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) inherited from T80-T88
- Use additional code(s) to identify the specified condition resulting from the complication inherited from T80-T88
- Use additional code to identify devices involved and details of circumstances (Y62-Y82) inherited from T80-T88
Coder workflow for T86.841
MedCoder structured workflow — derived from this code’s own official record
Before you code T86.841
- T86.841 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewT86.8411, T86.8412, T86.8413, T86.8419
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath T86.841?
Yes → Select that code and continue the checks below on its own page.
No → T86.841 cannot be reported as written; query for the specificity its subcategory needs.
Consider T86.841. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Official instructions as workflow
Excludes2 — not part of T86.841(22 notes)
Coding workflow: The conditions named in this note are not included in T86.841. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareT85.3, Z93, Z43, Z44, R50.82, G97.0
See the official tabular notes · Guidelines I.A.12.b
Use Additional Code — after identifying T86.841(7 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with T86.841 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with T86.841?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name T86.841 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes1 notes across 2 chapters: T88.7 — Unspecified adverse effect of drug or medicament (via T86.-), Z98.85 — Transplanted organ removal status (via T86.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 9 Excludes2 notes across 2 chapters: D89 — Other disorders involving the immune mechanism, not elsewhere classified (via T86.-), T78 — Adverse effects, not elsewhere classified (via T86.-), T79 — Certain early complications of trauma, not elsewhere classified (via T86.-), T81 — Complications of procedures, not elsewhere classified (via T86.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via T86.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via T86.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via T86.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via T86.-), T85.3 — Mechanical complication of other ocular prosthetic devices, implants and grafts (via T86.84.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 4 Code First instructions across 2 chapters: C80.2 — Malignant neoplasm associated with transplanted organ (via T86.-), D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD) (via T86.-), D89.81 — Graft-versus-host disease (via T86.-), D89.83 — Cytokine release syndrome (via T86.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Clinical classification (AHRQ CCSR):INJ036 — Complication of transplanted organs or tissue, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complication of transplanted organs or tissue, initial encounter).
T86.830 — Bone graft rejection, T86.831 — Bone graft failure, T86.832 — Bone graft infection, T86.838 — Other complications of bone graft, T86.839 — Unspecified complication of bone graft, T86.840 — Corneal transplant rejection, T86.8401 — Corneal transplant rejection, right eye, T86.8402 — Corneal transplant rejection, left eye, T86.8403 — Corneal transplant rejection, bilateral, T86.8409 — Corneal transplant rejection, unspecified eye, T86.8411 — Corneal transplant failure, right eye, T86.8412 — Corneal transplant failure, left eye, T86.8413 — Corneal transplant failure, bilateral, T86.8419 — Corneal transplant failure, unspecified eye, T86.842 — Corneal transplant infection, T86.8421 — Corneal transplant infection, right eye, T86.8422 — Corneal transplant infection, left eye, T86.8423 — Corneal transplant infection, bilateral, T86.8429 — Corneal transplant infection, unspecified eye, T86.848 — Other complications of corneal transplant, +76 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Failure, failed”; these codes share that main term but sit in a different category of the Tabular List.
P29.0 — Neonatal cardiac failure (heart, newborn), P29.89 — Other cardiovascular disorders originating in the perinatal period (circulation, circulatory, newborn), P91.88 — Other specified disturbances of cerebral status of newborn (vital centers, newborn), P92.6 — Failure to thrive in newborn (to thrive, newborn), P96.0 — Congenital renal failure (renal, congenital), Q43.3 — Congenital malformations of intestinal fixation (rotation, cecum), Q63.2 — Ectopic kidney (rotation, kidney), Q76.3 — Congenital scoliosis due to congenital bony malformation (segmentation, vertebra, with scoliosis), Q76.49 — Other congenital malformations of spine, not associated with scoliosis (segmentation, vertebra), R09.2 — Respiratory arrest (cardiorespiratory), R54 — Age-related physical debility (senile), R57.9 — Shock, unspecified (circulation, circulatory), R62.51 — Failure to thrive (child) (to thrive), R62.7 — Adult failure to thrive (to thrive, adult), T79.5 — Traumatic anuria (renal, following, crushing), T88.4 — Failed or difficult intubation (intubation during anesthesia), T88.52 — Failed moderate sedation during procedure (sedationduring procedure), Z55.2 — Failed school examinations (examination, anxiety concerning), Z91.89 — Other specified personal risk factors, not elsewhere classified (Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV, stage A), Z92.83 — Personal history of failed moderate sedation (sedationduring procedure, history of), +118 more
Contextual Map
Every relationship of T86.841 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run T86.841 with these 14 related codes in Claim Check
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T80-T88 — Complications of surgical and medical care, not elsewhere classified[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- T88.7 — Unspecified adverse effect of drug or medicament[Excludes1](via T86.-): “specified adverse effects of drugs and medicaments (A00-R94 and T80-T88.6, T88.8)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z98.85 — Transplanted organ removal status[Excludes1](via T86.-): “encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (9)
- D89 — Other disorders involving the immune mechanism, not elsewhere classified[Excludes2](via T86.-): “transplant failure and rejection (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T78 — Adverse effects, not elsewhere classified[Excludes2](via T86.-): “complications of surgical and medical care NEC (T80-T88)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T79 — Certain early complications of trauma, not elsewhere classified[Excludes2](via T86.-): “complications occurring during or following medical procedures (T80-T88)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T81 — Complications of procedures, not elsewhere classified[Excludes2](via T86.-): “complications of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T83 — Complications of genitourinary prosthetic devices, implants and grafts[Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[Excludes2](via T86.-): “failure and rejection of transplanted organs and tissues (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T85 — Complications of other internal prosthetic devices, implants and grafts[Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 1 more
Referenced by Code First instructions
- C80.2 — Malignant neoplasm associated with transplanted organ[Code First](via T86.-): “complication of transplanted organ (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD)[Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D89.81 — Graft-versus-host disease[Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D89.83 — Cytokine release syndrome[Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INJ036 — Complication of transplanted organs or tissue, initial encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Nearest codes (40)
- T86 — Complications of transplanted organs and tissue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.818 — Other complications of lung transplant[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.819 — Unspecified complication of lung transplant[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.82 — Complications of skin graft (allograft) (autograft)[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.820 — Skin graft (allograft) rejection[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.821 — Skin graft (allograft) (autograft) failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.822 — Skin graft (allograft) (autograft) infection[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- T86.828 — Other complications of skin graft (allograft) (autograft)[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history (2)
- FY2021 — Became a non-billable header[Change history]— CMS release files (code change ledger) · icd10cm-fy2021
- and 1 more
Common coding questions
Can T86.841 be billed directly?
No. T86.841 (Corneal transplant failure) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "T86.841 — Corneal transplant failure." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/t86.841-corneal-transplant-failure
Change history
- FY2021 — October 1, 2020Became a non-billable headerFY2021 changes
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionCorneal transplant failure
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T86.841 in its code family, with their registry titles.
- T86.840 — Corneal transplant rejection
- T86.8401 — Corneal transplant rejection, right eye
- T86.8402 — Corneal transplant rejection, left eye
- T86.8403 — Corneal transplant rejection, bilateral
- T86.8409 — Corneal transplant rejection, unspecified eye
- T86.8411 — Corneal transplant failure, right eye
- T86.8412 — Corneal transplant failure, left eye
- T86.8413 — Corneal transplant failure, bilateral
- T86.8419 — Corneal transplant failure, unspecified eye
- T86.842 — Corneal transplant infection