T86.33

Billable

Heart-lung transplant infection

HCC Category Mapping

V24HCC 186 — Major Organ Transplant or Replacement Status

0.910

ESRDHCC 186 — Major Organ Transplant or Replacement Status

0.000

RxHCCHCC 396 — Allograft Complications

0.000

What This Code Means

A bacterial, viral, fungal, or other infection develops in or around the transplanted heart and lungs.

Coding Tips

•Code the specific organism or infection type in addition to this code if documented (e.g., cytomegalovirus, bacterial pneumonia)
•Post-transplant infections are common; ensure the infection is related to the transplant and not a separate condition

Clinical Significance

Heart-lung transplant infection represents a critical complication in highly immunosuppressed patients affecting both cardiac and pulmonary systems, with potential for rapid progression to sepsis and multi-organ failure. The dual organ involvement complicates treatment decisions and requires coordination between multiple subspecialty services for optimal management.

Documentation Requirements

✓History of heart-lung transplant with transplant date
✓Type and location of infection affecting cardiac or pulmonary systems
✓Causative organisms and antimicrobial susceptibilities
✓Clinical presentation and severity assessment
✓Diagnostic studies including cultures, imaging, and tissue sampling
✓Antimicrobial therapy and treatment response
✓Adjustments to immunosuppressive regimen
✓Coordination between infectious disease, cardiac, and pulmonary teams

Use Additional Code

code to specify infection

Commonly Confused Codes

T86.30 — Unspecified heart-lung transplant complication (when infection documented)T86.23 — Heart transplant infection (single organ vs combined)T86.813 — Lung transplant infection (single organ vs combined)J44.0 — COPD with acute exacerbation (infectious vs non-infectious)A41.9 — Sepsis (may be concurrent with transplant infection)

Code Hierarchy

└T86Complications of transplanted organs and tissue └T86.3Complications of heart-lung transplant └T86.33Heart-lung transplant infection

└T86.33Heart-lung transplant infection