T86.812: Lung transplant infection
T86.812 is a billable, specific ICD-10-CM code for lung transplant infection. It is valid for submission on a claim.
Check T86.812 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- code to specify infection
Other codes that can never be billed with T86.812
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.85Transplanted organ removal status
Risk adjustment
T86.812 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 276 Lung Transplant Status/Complications2.531 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
T86.812 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A52474Immunosuppressive Drugs - Policy Article
- A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
- A55717Billing and Coding: Lab: Flow Cytometry
Alphabetic index entries that lead here
- Complication›prosthetic device or implant›infection or inflammation›lung transplant
- Complication›transplant›lung›infection
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.