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T86.20

Unspecified complication of heart transplant

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 4 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 5 never code together
T86.2code
Excludes1
  • complication of:
  • artificial heart device (T82.5-)T82.5-
  • heart-lung transplant (T86.3-)T86.3-
S00-T88chapter
Excludes2

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 7
T86code
Use additional code
  • code to identify other transplant complications, such as:
  • graft-versus-host disease (D89.81-)D89.81-
  • malignancy associated with organ transplant (C80.2)C80.2
  • post-transplant lymphoproliferative disorders (PTLD) (D47.Z1)D47.Z1
S00-T88chapter
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional code
  • code to identify any retained foreign body, if applicable (Z18.-)Z18.-
Index entries leading here 1
  • Complication (s) (from) (of)
Alongside this code 4 same parent — T86.2
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC186 CMS28HCC221 ESRD21HCC186 ESRD24HCC186 RX08HCC396

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
T86.2
Block
T07-T88
Siblings
4

Present FY2024–FY2027.