T86.842 ICD-10-CM Code: Corneal transplant infection
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T86.842 in the official ICD-10-CM tabular list.
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-) Compare T86.842 vs T85.3 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T86.842 vs Z93 →
- closure of external stoma (Z43.-) Compare T86.842 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T86.842 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T86.842 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T86.842 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) Compare T86.842 vs T36 →
- postprocedural fever (R50.82) Compare T86.842 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T86.842 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T86.842 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T86.842 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T86.842 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.-) Compare T86.842 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T86.842 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T86.842 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T86.842 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T86.842 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T86.842 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T86.842 vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to specify infection
- Use additional code to identify other transplant complications, such as:
- graft-versus-host disease (D89.81-)
- malignancy associated with organ transplant (C80.2)
- post-transplant lymphoproliferative disorders (PTLD) (D47.Z1)
- Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
- Use additional code(s) to identify the specified condition resulting from the complication
- Use additional code to identify devices involved and details of circumstances (Y62-Y82)
Frequently Compared Codes
The official Excludes notes on T86.842 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2021 — 2020-10-01Became a non-billable headerfalseFY2021 changes
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Official ICD-10-CM tabular notes on other codes that name T86.842 or its code family.
1 Excludes1 notes: Z98.85 (via T86.-).
7 Excludes2 notes across 2 chapters: D89 (via T86.-), T81 (via T86.-), T82 (via T86.-), T83 (via T86.-), T84 (via T86.-), T85 (via T86.-), T85.3 (via T86.84.-).
4 Code First instructions across 2 chapters: C80.2 (via T86.-), D47.Z1 (via T86.-), D89.81 (via T86.-), D89.83 (via T86.-).
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.
Contextual Map
Every relationship of T86.842 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.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- T80-T88 — Complications of surgical and medical care, not elsewhere classified [Hierarchy]
Referenced by Excludes1 notes
- Z98.85 — Transplanted organ removal status [Excludes1](via T86.-): “encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)” · check together
Referenced by Excludes2 notes
- D89 — Other disorders involving the immune mechanism, not elsewhere classified [Excludes2](via T86.-): “transplant failure and rejection (T86.-)” · check together
- T81 — Complications of procedures, not elsewhere classified [Excludes2](via T86.-): “complications of transplanted organs and tissue (T86.-)” · check together
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)” · check together
- T83 — Complications of genitourinary prosthetic devices, implants and grafts [Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)” · check together
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts [Excludes2](via T86.-): “failure and rejection of transplanted organs and tissues (T86.-)” · check together
- T85 — Complications of other internal prosthetic devices, implants and grafts [Excludes2](via T86.-): “failure and rejection of transplanted organs and tissue (T86.-)” · check together
- T85.3 — Mechanical complication of other ocular prosthetic devices, implants and grafts [Excludes2](via T86.84.-): “other complications of corneal graft (T86.84-)” · check together
Referenced by Code First instructions
- C80.2 — Malignant neoplasm associated with transplanted organ [Code First](via T86.-): “complication of transplanted organ (T86.-)” · check together
- D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD) [Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)” · check together
- D89.81 — Graft-versus-host disease [Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)” · check together
- D89.83 — Cytokine release syndrome [Code First](via T86.-): “complications of transplanted organs and tissue (T86.-)” · check together
Clinical classification (CCSR)
- INJ036 — Complication of transplanted organs or tissue, initial encounter [CCSR]
Nearest codes (40)
- T86 — Complications of transplanted organs and tissue [Sibling]
- T86.822 — Skin graft (allograft) (autograft) infection [Sibling]
- T86.828 — Other complications of skin graft (allograft) (autograft) [Sibling]
- T86.829 — Unspecified complication of skin graft (allograft) (autograft) [Sibling]
- T86.83 — Complications of bone graft [Sibling]
- T86.830 — Bone graft rejection [Sibling]
- T86.831 — Bone graft failure [Sibling]
- T86.832 — Bone graft infection [Sibling]
- and 32 more
Change history
- FY2021 — Became a non-billable header [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T86.842 be billed directly?
No. T86.842 (Corneal transplant infection) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T86.842 in its code family, with their registry titles.
- T86.841 — Corneal transplant failure
- 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
- T86.8421 — 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