T86.41

Billable

Liver transplant rejection

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

The recipient's immune system attacks and damages the transplanted liver, causing it to malfunction or fail.

Coding Tips

•Document the type of rejection (hyperacute, acute, or chronic) when available for better clinical specificity
•Liver rejection may present with elevated liver enzymes and jaundice; correlate with lab findings

Clinical Significance

Liver transplant rejection represents a critical complication that can rapidly progress to graft failure and death without prompt aggressive immunosuppressive therapy. Early recognition through routine monitoring and liver biopsy is essential, as the liver's unique immunological properties make rejection patterns different from other solid organ transplants.

Documentation Requirements

✓History of liver transplant with transplant date
✓Evidence of rejection from liver biopsy or clinical presentation
✓Grade and type of rejection (acute cellular, chronic, antibody-mediated)
✓Clinical symptoms and laboratory abnormalities
✓Liver function tests showing deterioration
✓Anti-rejection therapy protocols administered
✓Response to treatment and follow-up studies
✓Transplant hepatology team management decisions

Commonly Confused Codes

T86.40 — Unspecified liver transplant complication (when rejection documented)T86.42 — Liver transplant failure (end result vs active rejection)K72.90 — Hepatic failure, unspecified (non-transplant related)Z94.4 — Liver transplant status (stable patients without rejection)T86.43 — Liver transplant infection (different pathophysiology)

Code Hierarchy

└T86Complications of transplanted organs and tissue └T86.4Complications of liver transplant └T86.41Liver transplant rejection

└T86.41Liver transplant rejection