MCMedicalCodingSoftware
T86.8413

T86.8413: Corneal transplant failure, bilateral

Billable / specific codeICD-10-CMbilateral

T86.8413 is a billable, specific ICD-10-CM code for corneal transplant failure, bilateral. It is valid for submission on a claim.

Check T86.8413 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above T86.8413

Not part of this code, but both may be coded when both are present.

Written on T86.84: Complications of corneal transplant

  • mechanical complications of corneal graft (T85.3-)

Other codes that can never be billed with T86.8413

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z98.85Transplanted organ removal status

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T86.8413 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55717Billing and Coding: Lab: Flow Cytometry
  • A56457Billing and Coding: Corneal Pachymetry
  • A56464Billing and Coding: Flow Cytometry
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under T86.841

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.