2026 ICD-10-CM Diagnosis Code T86.819Unspecified complication of lung transplant

ICD-10-CM Codes›S00–T88›T80-T88›T86

ICD-10-CM T86.819
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T86.819 is a billable ICD-10-CM diagnosis code for unspecified complication of lung transplant. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 205 through 206. Coders also document this condition as complication of transplanted lung. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of transplanted organs or tissue, initial encounter.

Code Identity

ICD-10-CM Code
T86.819
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified complication of lung transplant
Short Description
Unspecified complication of lung transplant
Same as the full description in the CMS dataset.
Parent Code
T86.81
Complications of lung transplant

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT80-T88Complications of surgical and medical care, not elsewhere classified
CategoryT86Complications of transplanted organs and tissue
This CodeT86.819Unspecified complication of lung transplant

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Complication of transplanted lung
  • Disorder related to lung transplantation
  • Transplanted lung present

Coding GuidelinesGuidance

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 applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Complication(s) (from) (of)
      • transplant
        • lung

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ036
Complication of transplanted organs or tissue, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Lung Transplantation

A lung transplant removes a person's diseased lung and replaces it with a healthy one. The healthy lung comes from a donor who has died. Some people get one lung during a transplant. Other people get two.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T86.819 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
996.84 Compl lung transplant
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T86.819Overview

Is T86.819 (Complications of lung transplant) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified complication of lung transplant on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does T86.819 group to?

When unspecified complication of lung transplant is the principal diagnosis on an inpatient stay, it groups to MS-DRG 205, 206, with relative weights from 0.9411 to 1.8310 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T86.819?

Under the General Equivalence Mappings, unspecified complication of lung transplant converts to ICD-9-CM 996.84 (compl lung transplant). The mapping is approximate, so confirm the match fits the documentation.

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.