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T86.89 ICD-10-CM Code: Complications of other transplanted tissue

T86.89 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Complications of surgical and medical care, not elsewhere classified (T80-T88)

T86.89

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Complications of other transplanted tissue

Complications of other transplanted tissue

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
T86Complications of transplanted organs and tissue
T86.8Complications of other transplanted organs and tissues
T86.89Complications of other transplanted tissue

Inclusion Terms

Official
  • Transplant failure or rejection of pancreas

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T86.89 in this effective period.

Related Child Codes

Official
T86.890Other transplanted tissue rejection
T86.891Other transplanted tissue failure
T86.892Other transplanted tissue infection
T86.898Other complications of other transplanted tissue
T86.899Unspecified complication of other transplanted tissue

Includes

Official

ICD-10-CM does not list Includes notes for T86.89 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T86.89 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T86.89 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T86.89 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T86.89 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
T86.89
Description
Complications of other transplanted tissue
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

T86.89 is the ICD-10-CM diagnosis code for complications of other transplanted tissue. T86.89 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering complications of surgical and medical care, not elsewhere classified (t80-t88).

Header codes like T86.89 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T86.89's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T86.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

More on T86.89

Related condition guides

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