Transplanted organ NOS, failure or rejection or unspecified complication

ICD10 Diagnosis
Dx:	Transplanted organ NOS, failure or rejection or unspecified complication
ICD10 code:	T86.88
Pre-ICD10 counterpart:	No corresponding old article
Charlson/ALERT Scale:	none
APACHE Como Component:	Immunocompromised
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • T86.88

• Cargo

• Categories

• SMW

• Cargo

• Categories

• SMW

• Cargo

• Categories

Additional Info

• Includes for intestinal transplant

Transplant failure or rejection or unspecified complication guideline

• This code includes transplant rejection, transplant failure (primary or subsequently), and others problems with the transplanted organ itself.
  • For example if the transplanted organ gets into trouble from Graft-versus-host disease/reaction (GVHD) then you should combine that code with this code.
• This code can be used for the whole range of problems with a transplanted organ -- of any severity (mild dysfunction up to total loss of the transplant) and of any duration (temporary or permanent).
• https://en.wikipedia.org/wiki/Transplant_rejection
• If you use this code, you should also code the relevant past history code for the transplant, if applicable, i.e. if the pt would have qualified for that code if the transplant had not failed.

Prophylactic treatment does not indicate infection ( CMV+ or EBV+ donors or recipients)

• We are NOT coding anything having to do with the Cytomegalovirus (CMV) or EBV or Mycobacterium Tuberculosis or Urinary tract infection, NOS or Hepatitis C, chronic status of the donor.
• Accordingly, do not code a transplant recipient as infected or colonized with such organisms, but of course DO code them as infected with them IF THEY BECOME INFECTED WITH THEM -- which is not indicated just by the recipient being prophylactically treated for them after the transplant.
• As per Colonized with organism (not infected), we are not tracking colonization with either of these viruses.

How past data was back populated

click expand to see content

(based on 27June2022 meeting of Allan and Julie, completed by Pagasa as per email from 2022-08-26) if an organ transplant failure or rejection code occurs in Admit, add this organ past history Transplant code in comorbid. if an organ transplant failure or rejection code occurs in Acquired, follow below: if there is a CCI code of transplant present (implying the transplant happens in this admission) or old coding of transplant present (prior Jan 1, 2019), then DO NOT enter this organ past history Transplant code in comorbid. if there is NO CCI code of transplant present (implying NO transplant happens in this admission) or NO old coding of transplant present (prior Jan 1, 2019), then enter this organ past history Transplant code in comorbid. if an organ transplant failure or rejection code occurs in Comorbid, add this organ past history Transplant code in comorbid. ICD10 Transplant Failure or rejection codes - T86.000 (bone marrow), T86.1 (kidney), T86.2 (heart), T86.3 (heart-lung), T86.4 (liver), T86.80 (lung), T86.81 (pancreas), T86.88 (NOS) ICD10 Past History Transplant - Z94.0(kidney), Z94.1(heart), Z94.2 (lung), Z94.4 (liver), Z94.80 (bone marrow) , Z94.82 (pancreas), Z94.88 (NOS) CCI Transplant codes - 1.WY.19 (Bone marrow), 1.PC.85 (kidney), 1.HZ.85 (heart), 1.OA.85 (liver), 1.GT.85 (lung), 1.OJ.85 (pancreas) Old Coding Dx transplant failed or rejection - 29.01 (post lung), 361.01 or 805.02 or 805.03 (Renal), 429.01 (liver), 430.01(pancreas).766.01 (heart) Old Coding Dx transplant - 29.00 (post lung), 361.00 or 805.00 (Renal), 429.00 (liver), 430.00 (pancreas).766.00 (heart), 781.00 (lung), 851.00 (BMT)

Alternate ICD10s to consider coding instead or in addition

• Kidney transplant, failure or rejection or unspecified complication
• Heart transplant, failure or rejection or unspecified complication
• Heart-lung transplant, failure or rejection or unspecified complication
• Liver transplant, failure or rejection or unspecified complication
• Lung transplant, failure or rejection or unspecified complication
• Pancreas transplant, failure or rejection or unspecified complication
• Bone marrow transplant, failure or rejection
• Graft-versus-host disease/reaction (GVHD)

Candidate Combined ICD10 codes

• Past history, organ/tissue transplant NOS

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related Articles

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results