Is T86.290 a billable ICD-10-CM code?

Yes. T86.290 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T86.290 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 T86.290?

T86.290 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

T86.290

T86.290 — Cardiac allograft vasculopathy

Billable / specific codeICD-10-CM

T86.290 is a billable, specific ICD-10-CM code for cardiac allograft vasculopathy. It is valid for submission on a claim.

Excludes1 — never code together

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

atherosclerosis of coronary arteries (I25.75-, I25.76-, I25.81-)

Risk adjustment

T86.290 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 221 Heart Transplant Status/Complications1.053 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

T86.290 is named in 49 Medicare coverage policies — 49 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article

How T86.290 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 T86.290.

Vasculopathy, necrotizing›cardiac allograft
Complication›transplant›heart›cardiac allograft vasculopathy

Related codes at this level

Codes that share T86.29. If T86.290 is not quite right, the correct code is usually one of these.

T86.298Other complications of heart transplant

Questions about T86.290

Is T86.290 a billable ICD-10-CM code?: Yes. T86.290 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T86.290 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 T86.290?: T86.290 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.