T86.812
BillableLung transplant infection
HCC Category Mapping
V28HCC 276 — Lung Transplant Status/Complications
0.193V24HCC 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
An infection develops in or around the transplanted lung tissue after lung transplant surgery.
Coding Tips
- •Use an additional code to identify the specific infectious organism (bacterial, viral, fungal) if documented
- •Note the location of infection (lung tissue, airways, or surrounding areas) for complete clinical documentation
Clinical Significance
Lung transplant infection represents a serious complication in immunocompromised patients that can lead to graft loss and mortality. These infections often require aggressive treatment and may indicate inadequate immunosuppression balance.
Documentation Requirements
- ✓Documentation of prior lung transplant procedure
- ✓Positive culture results or other microbiologic evidence
- ✓Clinical signs and symptoms of infection (fever, increased dyspnea, purulent sputum)
- ✓Imaging findings consistent with transplant-related infection
- ✓Laboratory evidence of infection (elevated WBC, inflammatory markers)
- ✓Specific pathogen identification when possible
- ✓Antibiotic or antifungal therapy administration
- ✓Physician assessment linking infection to transplant status
Use Additional Code
- code to specify infection
Commonly Confused Codes
T86.810 — lung transplant rejection (infectious vs immunologic complication)T86.811 — lung transplant failure (infection vs overall graft failure)J18.9 — pneumonia unspecified (transplant-related vs community-acquired pneumonia)Z87.891 — personal history of nicotine dependence (infection vs risk factor)T86.818 — other lung transplant complications (infection vs other complications)