T86.8423

Billable

Corneal transplant infection, bilateral

HCC Category Mapping

V24HCC 176 — Complications of Specified Implanted Device or Graft

0.529

ESRDHCC 176 — Complications of Specified Implanted Device or Graft

0.000

What This Code Means

Infections have developed in cornea transplants in both eyes.

Coding Tips

•Use this code only when infection is documented in bilateral corneal transplants
•Assign additional codes for each organism if multiple infections are present in different eyes

Clinical Significance

Bilateral corneal transplant infection represents a severe ophthalmologic emergency with potential for bilateral vision loss. This condition requires aggressive systemic and topical therapy and close ophthalmologic monitoring to preserve vision in both eyes.

Documentation Requirements

✓Documentation of corneal transplant procedures in both eyes
✓Clinical evidence of infection in both corneas
✓Bilateral examination findings supporting infection
✓Visual acuity measurements for both eyes
✓Culture or microbiologic studies when available
✓Bilateral treatment regimen documentation
✓Clear documentation of bilateral involvement
✓Specialist evaluation confirming bilateral transplant-related infection

Commonly Confused Codes

T86.8421 — corneal transplant infection, right eye (bilateral vs unilateral right)T86.8422 — corneal transplant infection, left eye (bilateral vs unilateral left)H16.9 — keratitis unspecified (transplant vs non-transplant bilateral keratitis)T86.8429 — corneal transplant infection, unspecified eye (bilateral vs unspecified)H44.009 — endophthalmitis unspecified eye (corneal vs intraocular infection)

Code Hierarchy

└T86Complications of transplanted organs and tissue └T86.8Complications of other transplanted organs and tissues └T86.84Complications of corneal transplant └T86.842Corneal transplant infection └T86.8423Corneal transplant infection, bilateral

└T86.8423Corneal transplant infection, bilateral