T86.859
T86.859: Unspecified complication of intestine transplant
Billable / specific codeICD-10-CM
T86.859 is a billable, specific ICD-10-CM code for unspecified complication of intestine transplant. It is valid for submission on a claim.
Check T86.859 with the rest of the claim: free scrubberOther codes that can never be billed with T86.859
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.85Transplanted organ removal status
Risk adjustment
T86.859 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
T86.859 is named in 5 Medicare coverage policies: 5 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›intestine
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.