ICD-10 · PDGM grouping
T86 Complications of transplanted organs and tissue
All 77 codes in the T86 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
77
Can lead a claim
54
Cannot lead a claim
23
What CMS assigns to T86
54 of the 77 codes group to MMTA - Other (50) and Wound (4); 23 are assigned no clinical group. None of the 77 is assigned a comorbidity subgroup. 54 of the 77 can lead a claim.
Every code in T86
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T86.0 Complications of bone marrow transplant | ||||
| T86.00 | Unspecified complication of bone marrow transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.01 | Bone marrow transplant rejection | Can lead a claim | A | None |
| T86.02 | Bone marrow transplant failure | Can lead a claim | A | None |
| T86.03 | Bone marrow transplant infection | Can lead a claim | A | None |
| T86.09 | Other complications of bone marrow transplant | Can lead a claim | A | None |
| T86.1 Complications of kidney transplant | ||||
| T86.10 | Unspecified complication of kidney transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.11 | Kidney transplant rejection | Can lead a claim | A | None |
| T86.12 | Kidney transplant failure | Can lead a claim | A | None |
| T86.13 | Kidney transplant infection | Can lead a claim | A | None |
| T86.19 | Other complication of kidney transplant | Can lead a claim | A | None |
| T86.2 Complications of heart transplant | ||||
| T86.20 | Unspecified complication of heart transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.21 | Heart transplant rejection | Can lead a claim | A | None |
| T86.22 | Heart transplant failure | Can lead a claim | A | None |
| T86.23 | Heart transplant infection | Can lead a claim | A | None |
| T86.29 Other complications of heart transplant | ||||
| T86.290 | Cardiac allograft vasculopathy | Can lead a claim | A | None |
| T86.298 | Other complications of heart transplant | Can lead a claim | A | None |
| T86.3 Complications of heart-lung transplant | ||||
| T86.30 | Unspecified complication of heart-lung transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.31 | Heart-lung transplant rejection | Can lead a claim | A | None |
| T86.32 | Heart-lung transplant failure | Can lead a claim | A | None |
| T86.33 | Heart-lung transplant infection | Can lead a claim | A | None |
| T86.39 | Other complications of heart-lung transplant | Can lead a claim | A | None |
| T86.4 Complications of liver transplant | ||||
| T86.40 | Unspecified complication of liver transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.41 | Liver transplant rejection | Can lead a claim | A | None |
| T86.42 | Liver transplant failure | Can lead a claim | A | None |
| T86.43 | Liver transplant infection | Can lead a claim | A | None |
| T86.49 | Other complications of liver transplant | Can lead a claim | A | None |
| T86.5 | Complications of stem cell transplant | Can lead a claim | A | None |
| T86.8 Complications of other transplanted organs and tissues | ||||
| T86.81 Complications of lung transplant | ||||
| T86.810 | Lung transplant rejection | Can lead a claim | A | None |
| T86.811 | Lung transplant failure | Can lead a claim | A | None |
| T86.812 | Lung transplant infection | Can lead a claim | A | None |
| T86.818 | Other complications of lung transplant | Can lead a claim | A | None |
| T86.819 | Unspecified complication of lung transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.82 Complications of skin graft (allograft) (autograft) | ||||
| T86.820 | Skin graft (allograft) rejection | Can lead a claim | C | None |
| T86.821 | Skin graft (allograft) (autograft) failure | Can lead a claim | C | None |
| T86.822 | Skin graft (allograft) (autograft) infection | Can lead a claim | C | None |
| T86.828 | Other complications of skin graft (allograft) (autograft) | Can lead a claim | C | None |
| T86.829 | Unspecified complication of skin graft (allograft) (autograft)CMS: Unsp complication of skin graft (allograft) (autograft) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.83 Complications of bone graft | ||||
| T86.830 | Bone graft rejection | Can lead a claim | A | None |
| T86.831 | Bone graft failure | Can lead a claim | A | None |
| T86.832 | Bone graft infection | Can lead a claim | A | None |
| T86.838 | Other complications of bone graft | Can lead a claim | A | None |
| T86.839 | Unspecified complication of bone graft | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.84 Complications of corneal transplant | ||||
| T86.840 Corneal transplant rejection | ||||
| T86.8401 | Corneal transplant rejection, right eye | Can lead a claim | A | None |
| T86.8402 | Corneal transplant rejection, left eye | Can lead a claim | A | None |
| T86.8403 | Corneal transplant rejection, bilateral | Can lead a claim | A | None |
| T86.8409 | Corneal transplant rejection, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| T86.841 Corneal transplant failure | ||||
| T86.8411 | Corneal transplant failure, right eye | Can lead a claim | A | None |
| T86.8412 | Corneal transplant failure, left eye | Can lead a claim | A | None |
| T86.8413 | Corneal transplant failure, bilateral | Can lead a claim | A | None |
| T86.8419 | Corneal transplant failure, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| T86.842 Corneal transplant infection | ||||
| T86.8421 | Corneal transplant infection, right eye | Can lead a claim | A | None |
| T86.8422 | Corneal transplant infection, left eye | Can lead a claim | A | None |
| T86.8423 | Corneal transplant infection, bilateral | Can lead a claim | A | None |
| T86.8429 | Corneal transplant infection, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| T86.848 Other complications of corneal transplant | ||||
| T86.8481 | Other complications of corneal transplant, right eye | Can lead a claim | A | None |
| T86.8482 | Other complications of corneal transplant, left eye | Can lead a claim | A | None |
| T86.8483 | Other complications of corneal transplant, bilateral | Can lead a claim | A | None |
| T86.8489 | Other complications of corneal transplant, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| T86.849 Unspecified complication of corneal transplant | ||||
| T86.8491 | Unspecified complication of corneal transplant, right eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.8492 | Unspecified complication of corneal transplant, left eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.8493 | Unspecified complication of corneal transplant, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.8499 | Unspecified complication of corneal transplant, unspecified eyeCMS: Unspecified complication of corneal transplant, unsp | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| T86.85 Complication of intestine transplant | ||||
| T86.850 | Intestine transplant rejection | Can lead a claim | A | None |
| T86.851 | Intestine transplant failure | Can lead a claim | A | None |
| T86.852 | Intestine transplant infection | Can lead a claim | A | None |
| T86.858 | Other complications of intestine transplant | Can lead a claim | A | None |
| T86.859 | Unspecified complication of intestine transplant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.89 Complications of other transplanted tissue | ||||
| T86.890 | Other transplanted tissue rejection | Can lead a claim | A | None |
| T86.891 | Other transplanted tissue failure | Can lead a claim | A | None |
| T86.892 | Other transplanted tissue infection | Can lead a claim | A | None |
| T86.898 | Other complications of other transplanted tissue | Can lead a claim | A | None |
| T86.899 | Unspecified complication of other transplanted tissue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.9 Complication of unspecified transplanted organ and tissue | ||||
| T86.90 | Unspecified complication of unspecified transplanted organ and tissueCMS: Unsp complication of unsp transplanted organ and tissue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.91 | Unspecified transplanted organ and tissue rejection | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.92 | Unspecified transplanted organ and tissue failure | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.93 | Unspecified transplanted organ and tissue infection | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T86.99 | Other complications of unspecified transplanted organ and tissueCMS: Other complications of unsp transplanted organ and tissue | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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