Is T86.3 a billable ICD-10-CM code?

No. T86.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T86.3 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).

T86.3

T86.3 — Complications of heart-lung transplant

Non-billable headerICD-10-CM

T86.3 is a non-billable header ICD-10-CM code for complications of heart-lung transplant. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with T86.3

These codes carry an Excludes1 note pointing at T86.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T86.3 alone.

T86.2Complications of heart transplant
T86.81Complications of lung transplant

Risk adjustment

T86.3 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 T86.3

5 child codes. Green means billable.

Related codes at this level

Codes that share T86. If T86.3 is not quite right, the correct code is usually one of these.

Questions about T86.3

Is T86.3 a billable ICD-10-CM code?: No. T86.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T86.3 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).