T86.818

Billable

Other complications of lung transplant

HCC Category Mapping

V28HCC 276 — Lung Transplant Status/Complications

0.193

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

Other complications of lung transplant not classified elsewhere, such as bleeding, stenosis, or bronchiolitis obliterans.

Coding Tips

•Use this code only when the specific complication is not captured by codes T86.810-T86.812
•Document the specific nature of the complication clearly to support medical necessity and appropriate coding

Clinical Significance

Other lung transplant complications encompass various non-rejection, non-failure, non-infectious complications such as bronchiolitis obliterans syndrome, anastomotic complications, or bleeding. These complications significantly impact patient outcomes and require specialized management.

Documentation Requirements

✓Clear documentation of lung transplant history
✓Specific identification of the type of complication present
✓Clinical evidence supporting the complication (imaging, pulmonary function, bronchoscopy)
✓Exclusion of rejection, failure, and infection as primary causes
✓Symptom documentation related to the specific complication
✓Treatment modalities being employed for the complication
✓Physician assessment confirming transplant-related etiology
✓Functional impact assessment of the complication

Commonly Confused Codes

T86.810 — lung transplant rejection (other complications vs specific rejection)T86.811 — lung transplant failure (other complications vs complete failure)T86.812 — lung transplant infection (other complications vs infectious cause)J44.1 — COPD with exacerbation (native vs transplant-related lung disease)T86.819 — unspecified lung transplant complication (specified vs unspecified)