T86.09 — Other complications of bone marrow transplant
T86.09 is a billable, specific ICD-10-CM code for other complications of bone marrow transplant. It is valid for submission on a claim.
Risk adjustment
T86.09 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 454 Stem Cell, Including Bone Marrow, Transplant Status/Complications1.068 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
T86.09 is named in 20 Medicare coverage policies — 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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How T86.09 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T86.09.
- Complication›transplant›bone marrow›specified type NEC
Related codes at this level
Codes that share T86.0. If T86.09 is not quite right, the correct code is usually one of these.
Questions about T86.09
- Is T86.09 a billable ICD-10-CM code?
- Yes. T86.09 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T86.09 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).