Is T86.2 a billable ICD-10-CM code?

No. T86.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T86.2 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).

What cannot be coded together with T86.2?

T86.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

T86.2

T86.2 — Complications of heart transplant

Non-billable headerICD-10-CM

T86.2 is a non-billable header ICD-10-CM code for complications of heart transplant. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

complication of:
artificial heart device (T82.5-)
heart-lung transplant (T86.3-)

Risk adjustment

T86.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead T86.2

5 child codes. Green means billable.

Related codes at this level

Codes that share T86. If T86.2 is not quite right, the correct code is usually one of these.

Questions about T86.2

Is T86.2 a billable ICD-10-CM code?: No. T86.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T86.2 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).
What cannot be coded together with T86.2?: T86.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.