T86.02
BillableBone marrow transplant failure
HCC Category Mapping
V28HCC 454 — Graft-Versus-Host Disease and Stem Cell Transplant Complications
0.000V24HCC 186 — Major Organ Transplant or Replacement Status
0.910ESRDHCC 186 — Major Organ Transplant or Replacement Status
0.000RxHCCHCC 395 — Graft-Versus-Host Disease
0.000What This Code Means
The transplanted bone marrow fails to engraft or stops functioning properly, resulting in inadequate blood cell production.
Coding Tips
- •Distinguish between primary graft failure (never engrafts) and secondary graft failure (engrafts then fails) in documentation
- •Requires seventh character extension and often accompanied by codes for resulting anemia or infection
Clinical Significance
This indicates bone marrow transplant failure where the graft ceases to function properly, resulting in inadequate blood cell production and potential life-threatening complications. These patients require intensive hematologic monitoring and may need supportive care or re-transplantation, representing a critical medical situation requiring specialized expertise.
Documentation Requirements
- ✓Evidence of bone marrow transplant failure
- ✓Laboratory findings showing graft dysfunction
- ✓Timeline of failure relative to transplant
- ✓Current blood counts and bone marrow function
- ✓Treatment measures being undertaken
- ✓Supportive care requirements
- ✓Assessment for re-transplantation candidacy
- ✓Associated complications or infections
Commonly Confused Codes
Code Hierarchy
└T86Complications of transplanted organs and tissue└T86.0Complications of bone marrow transplant└T86.02Bone marrow transplant failure
└T86.02Bone marrow transplant failure