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T86.892 ICD-10-CM Code: Other transplanted tissue infection

ICD-10-CM Code View

HCC Buddy Code Card

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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)

T86.892

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other transplanted tissue infection

An infection develops in or around a transplanted tissue or organ (other than those with specific codes) after the transplant procedure.

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
T86.8Complications of other transplanted organs and tissues
T86.89Complications of other transplanted tissue
T86.892Other transplanted tissue infection

Inclusion Terms

Official
  • Transplant failure or rejection of pancreas

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T86.892 in this effective period.

Related Child Codes

Official
T86.890Other transplanted tissue rejection
T86.891Other transplanted tissue failure
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 T86.892 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T86.892 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T86.892 in this effective period.

Use Additional

Official
  • code to specify infection

Code Also

Official

ICD-10-CM does not list Code Also instructions for T86.892 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Code the specific organism if documented (e.g., bacterial, viral, fungal infection)
Link to appropriate infection codes if the causative organism is identified

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 →

Is T86.892 an HCC code?

No. T86.892 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
T86.892
Description
Other transplanted tissue infection
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

T86.892 is the ICD-10-CM diagnosis code for other transplanted tissue infection. An infection develops in or around a transplanted tissue or organ (other than those with specific codes) after the transplant procedure. T86.892 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).

T86.892 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Code the specific organism if documented (e.g., bacterial, viral, fungal infection).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T86.892 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Code the specific organism if documented (e.g., bacterial, viral, fungal infection)
  • Link to appropriate infection codes if the causative organism is identified

Use Additional Code

  • code to specify infection

Child Codes

Code Hierarchy

More on T86.892

Related condition guides

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