T86.819
T86.819: Unspecified complication of lung transplant
Billable / specific codeICD-10-CMunspecified
T86.819 is a billable, specific ICD-10-CM code for unspecified complication of lung transplant. It is valid for submission on a claim.
Check T86.819 with the rest of the claim: free scrubberOther codes that can never be billed with T86.819
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.85Transplanted organ removal status
Risk adjustment
T86.819 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
T86.819 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A52474Immunosuppressive Drugs - Policy Article
- A55717Billing and Coding: Lab: Flow Cytometry
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
Alphabetic index entries that lead here
- Complication›transplant›lung
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.