2024 ICD-10-CM Diagnosis Code T86.91
Unspecified transplanted organ and tissue rejection
- ICD-10-CM Code:
- T86.91
- ICD-10 Code for:
- Unspecified transplanted organ and tissue rejection
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
T86.91 is a billable diagnosis code used to specify a medical diagnosis of unspecified transplanted organ and tissue rejection. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Unspecified diagnosis codes like T86.91 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute cellular graft rejection
- Chronic active graft rejection
- Chronic graft rejection
- Chronic inactive graft rejection
- Graft reaction AND/OR rejection
- Graft rejection
- Hyperacute graft rejection
- Mild cellular graft rejection
- Moderate cellular graft rejection
- Renal tubulo-interstitial disorders in transplant rejection
- Transplanted organ rejection
Clinical Classification
Clinical Category is Complication of transplanted organs or tissue, initial encounter
- CCSR Category Code: INJ036
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Graft Rejection
an immune response with both cellular and humoral components, directed against an allogeneic transplant, whose tissue antigens are not compatible with those of the recipient.Graft Rejection
rejection of transplanted tissue secondary to an immune response from the recipient.Hyperacute Allograft Rejection
an immediate rejection of transplanted tissue caused by the presence of preformed antibodies to donor human leukocyte antigens.Regimen Used to Treat or Prevent Graft Rejection
any regimen that can be used to treat or prevent graft rejection.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Complications of transplanted organs and tissue (T86). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Complication (s) (from) (of)
- - transplant - T86.90
- - rejection - T86.91
- - transplant - T86.90
- - Disorder (of) - See Also: Disease;
- - tubulo-interstitial (in)
- - transplant rejection - T86.91
- - tubulo-interstitial (in)
- - Pyelonephritis - See Also: Nephritis, tubulo-interstitial;
- - in (due to)
- - transplant rejection - T86.91
- - in (due to)
- - Rejection
- - transplant - T86.91
- - organ (immune or nonimmune cause) - T86.91
- - transplant - T86.91
Convert T86.91 to ICD-9-CM
- ICD-9-CM Code: 996.80 - Comp organ transplnt NOS
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Organ Transplantation
You may need an organ transplant if one of your organs has failed. This can happen because of illness or injury. When you have an organ transplant, doctors remove an organ from another person and place it in your body. The organ may come from a living donor or a donor who has died.
The organs that can be transplanted include:
- Heart
- Intestine
- Kidney
- Liver
- Lung
- Pancreas
You often have to wait a long time for an organ transplant. Doctors must match donors to recipients to reduce the risk of transplant rejection. Rejection happens when your immune system attacks the new organ. If you have a transplant, you must take drugs the rest of your life to help keep your body from rejecting the new organ.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.