MCMedicalCodingSoftware
T86.891

T86.891: Other transplanted tissue failure

Billable / specific codeICD-10-CM

T86.891 is a billable, specific ICD-10-CM code for other transplanted tissue failure. It is valid for submission on a claim.

Check T86.891 with the rest of the claim: free scrubber

Other codes that can never be billed with T86.891

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

T86.891 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
  • A55336Billing and Coding: Retroperitoneal Ultrasound
  • A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions

Alphabetic index entries that lead here

  • Failure, failed›transplant›pancreas
  • Failure, failed›transplant›specified organ or tissue NEC
  • Complication›transplant›pancreas›failure
  • Complication›transplant›specified›tissue›failure

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under T86.89

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.