T86.40

Billable

Unspecified complication of liver transplant

HCC Category Mapping

V28HCC 62 — Liver Transplant Status/Complications

0.482

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 complication occurring after a liver transplant surgery where the specific type of problem is not specified or documented.

Coding Tips

•Query the provider if the specific complication type is not documented; this is a non-specific code
•Review the medical record thoroughly to identify whether rejection, failure, or infection is present

Clinical Significance

Unspecified liver transplant complications indicate serious post-transplant issues requiring immediate evaluation to prevent graft loss and patient mortality, given the liver's critical metabolic and synthetic functions. These complications often require specialized hepatology and transplant surgery expertise for proper diagnosis and management.

Documentation Requirements

✓History of liver transplant with transplant date
✓Clinical signs and symptoms of hepatic dysfunction
✓Laboratory values including liver function tests and coagulation studies
✓Imaging studies such as ultrasound, CT, or MRI
✓Liver biopsy results when performed
✓Treatment interventions and medications
✓Hepatology and transplant surgery consultations
✓Response to therapy and clinical progression

Commonly Confused Codes

T86.41 — Liver transplant rejection (when rejection is documented)T86.42 — Liver transplant failure (when failure is documented)T86.43 — Liver transplant infection (when infection is documented)Z94.4 — Liver transplant status (for stable patients)K76.9 — Liver disease, unspecified (non-transplant related)

Code Hierarchy

└T86Complications of transplanted organs and tissue └T86.4Complications of liver transplant └T86.40Unspecified complication of liver transplant

└T86.40Unspecified complication of liver transplant