T86.850
T86.850: Intestine transplant rejection
Billable / specific codeICD-10-CM
T86.850 is a billable, specific ICD-10-CM code for intestine transplant rejection. It is valid for submission on a claim.
Check T86.850 with the rest of the claim: free scrubberOther codes that can never be billed with T86.850
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.85Transplanted organ removal status
Risk adjustment
T86.850 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 77 Intestine Transplant Status/Complications1.172 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
T86.850 is named in 10 Medicare coverage policies: 10 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
- Rejection›transplant›intestine
- Complication›transplant›intestine›rejection
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.