T86.19
T86.19: Other complication of kidney transplant
Billable / specific codeICD-10-CM
T86.19 is a billable, specific ICD-10-CM code for other complication of kidney transplant. It is valid for submission on a claim.
Check T86.19 with the rest of the claim: free scrubberOther codes that can never be billed with T86.19
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.85Transplanted organ removal status
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T86.19 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A52474Immunosuppressive Drugs - Policy Article
- A54548Billing and Coding: Eculizumab, and Biosimilars: EPYSQLI®-eculizumab-aagh, and BKEMV™-eculizumab-aeeb
- A55336Billing and Coding: Retroperitoneal Ultrasound
Alphabetic index entries that lead here
- Complication›transplant›kidney›specified type NEC
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.