T86.851
BillableIntestine transplant failure
HCC Category Mapping
V28HCC 77 — Intestine Transplant Status/Complications
0.000V24HCC 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
A transplanted intestine stops functioning properly or ceases to work, regardless of the cause.
Coding Tips
- •Use this code when intestinal transplant failure is documented but rejection is not the documented cause
- •Distinguish between rejection (T86.850) and failure (T86.851) based on clinical documentation
Clinical Significance
Intestinal transplant failure indicates severe graft dysfunction that may be irreversible, representing a life-threatening condition requiring intensive management and possible retransplantation consideration. This diagnosis carries extremely high mortality risk.
Documentation Requirements
- ✓Documentation of intestinal transplant history
- ✓Evidence of graft failure (biopsy, imaging, functional studies)
- ✓Clinical manifestations of failure (malabsorption, diarrhea, nutritional deficiencies)
- ✓Laboratory evidence of graft dysfunction
- ✓Nutritional assessment and requirements
- ✓Provider assessment confirming transplant failure
- ✓Current management including nutritional support
- ✓Consideration for retransplantation evaluation
Commonly Confused Codes
T86.850 — intestine transplant rejection (failure vs specific rejection)T86.852 — intestine transplant infection (failure vs infectious complication)K91.2 — postsurgical malabsorption (transplant failure vs surgical malabsorption)Z94.82 — intestine transplant status (failure vs stable status)T86.858 — other intestine transplant complications (failure vs other complications)