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T86.85 ICD-10-CM Code: Complication of intestine transplant

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Complication of intestine transplant is a non-billable ICD-10-CM category code (T86.85). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T86.85 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.

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-)
  • 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 T86.85 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

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 T86.85 or its code family.

1 Excludes1 notes: Z98.85 (via T86.-).

6 Excludes2 notes across 2 chapters: D89 (via T86.-), T81 (via T86.-), T82 (via T86.-), T83 (via T86.-), T84 (via T86.-), T85 (via T86.-).

4 Code First instructions across 2 chapters: C80.2 (via T86.-), D47.Z1 (via T86.-), D89.81 (via T86.-), D89.83 (via T86.-).

Contextual Map

Every relationship of T86.85 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]

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

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

Nearest codes (40)

  • T86 — Complications of transplanted organs and tissue [Sibling]
  • T86.8402 — Corneal transplant rejection, left eye [Sibling]
  • T86.8403 — Corneal transplant rejection, bilateral [Sibling]
  • T86.8409 — Corneal transplant rejection, unspecified eye [Sibling]
  • T86.841 — Corneal transplant failure [Sibling]
  • T86.8411 — Corneal transplant failure, right eye [Sibling]
  • T86.8412 — Corneal transplant failure, left eye [Sibling]
  • T86.8413 — Corneal transplant failure, bilateral [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T86.85 be billed directly?

No. T86.85 (Complication of intestine transplant) 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 T86.85 in its code family, with their registry titles.

  • T86.849 — Unspecified complication of corneal transplant
  • T86.8491 — Unspecified complication of corneal transplant, right eye
  • T86.8492 — Unspecified complication of corneal transplant, left eye
  • T86.8493 — Unspecified complication of corneal transplant, bilateral
  • T86.8499 — Unspecified complication of corneal transplant, unspecified eye
  • T86.850 — Intestine transplant rejection
  • T86.851 — Intestine transplant failure
  • T86.852 — Intestine transplant infection
  • T86.858 — Other complications of intestine transplant
  • T86.859 — Unspecified complication of intestine transplant

View all codes in the T86 family