T86.42
BillableLiver transplant failure
HCC Category Mapping
V28HCC 62 — Liver Transplant Status/Complications
0.482V24HCC 186 — Major Organ Transplant or Replacement Status
0.910ESRDHCC 186 — Major Organ Transplant or Replacement Status
0.000RxHCCHCC 396 — Allograft Complications
0.000What This Code Means
The transplanted liver stops functioning properly or ceases to work after transplantation.
Coding Tips
- •Distinguish between primary graft failure (occurs immediately) and secondary graft failure (occurs later); document timing
- •Coordinate with hepatology documentation and liver function test results
Clinical Significance
Liver transplant failure represents loss of hepatic function requiring emergency re-transplantation or resulting in death, as there is no long-term artificial support equivalent to dialysis for kidney failure. This complication necessitates immediate evaluation for re-transplantation candidacy and intensive supportive care to manage hepatic encephalopathy and coagulopathy.
Documentation Requirements
- ✓History of liver transplant with transplant date
- ✓Evidence of graft failure with severe hepatic dysfunction
- ✓Laboratory evidence including elevated bilirubin, coagulopathy
- ✓Clinical manifestations such as encephalopathy or ascites
- ✓Precipitating factors (rejection, vascular complications, infection)
- ✓Evaluation for emergency re-transplantation listing
- ✓Supportive care measures and intensive monitoring
- ✓Family discussions regarding prognosis and treatment options
Commonly Confused Codes
T86.41 — Liver transplant rejection (active process vs end-stage failure)T86.40 — Unspecified liver transplant complication (when failure documented)K72.90 — Hepatic failure, unspecified (non-transplant related)K76.7 — Hepatorenal syndrome (complication vs primary failure)Z99.89 — Dependence on other enabling machines (supportive care)
Code Hierarchy
└T86Complications of transplanted organs and tissue└T86.4Complications of liver transplant└T86.42Liver transplant failure
└T86.42Liver transplant failure