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T86.00

Billable

Unspecified complication of bone marrow transplant

HCC Category Mapping

V28HCC 454Graft-Versus-Host Disease and Stem Cell Transplant Complications
0.000
V24HCC 186Major Organ Transplant or Replacement Status
0.910
ESRDHCC 186Major Organ Transplant or Replacement Status
0.000
RxHCCHCC 395Graft-Versus-Host Disease
0.000

What This Code Means

A complication following a bone marrow transplant that is not further specified, such as graft-versus-host disease or other transplant-related problems.

Coding Tips

  • Use this code only when the specific type of complication is not documented; attempt to obtain more specific documentation
  • Requires a seventh character to indicate the episode of care (A, D, or S)

Clinical Significance

This indicates a complication following bone marrow transplant that requires ongoing monitoring and treatment, reflecting the complex immunosuppressed state and high risk for serious adverse events. These patients require specialized hematologic care and frequent monitoring for graft-versus-host disease, infection, and other transplant-related complications.

Documentation Requirements

  • History of bone marrow or stem cell transplant
  • Type of complication (if known)
  • Date of original transplant procedure
  • Current symptoms or manifestations
  • Treatment being provided for complication
  • Immunosuppressive medications
  • Laboratory values supporting complication
  • Impact on graft function or patient status

Commonly Confused Codes

Code Hierarchy

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