2026 ICD-10-CM Diagnosis Code T86.838Other complications of bone graft

ICD-10-CM Codes›S00–T88›T80-T88›T86

ICD-10-CM T86.838
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T86.838 is a billable ICD-10-CM diagnosis code for other complications of bone graft. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. Coders also document this condition as fracture of bone allograft. 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
T86.838
Billable Status
Yes — Valid for Submission
Code Describes
Other complications of bone graft
Short Description
Other complications of bone graft
Same as the full description in the CMS dataset.
Parent Code
T86.83
Complications of bone graft

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 CodeT86.838Other complications of bone graft

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fracture of bone allograft
  • Fracture of bone autograft
  • Fracture of bone graft
  • Nonunion of bone graft
  • Resorption of bone autograft
  • Resorption of bone graft

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)
      • graft (bypass) (patch)
        • bone
          • specified type NEC
    • Complication(s) (from) (of)
      • transplant
        • bone
          • specified type NEC
    • Embolism(multiple) (paradoxical)
      • due to device, implant or graft
        • orthopedic (bone graft) NEC
    • Hemorrhage, hemorrhagic(concealed)
      • due to or associated with
        • device, implant or graft
          • orthopedic NEC
            • bone graft

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

Bone Grafts

A bone graft transplants bone tissue. Surgeons use bone grafts to repair and rebuild diseased bones in your hips, knees, spine, and sometimes other bones and joints. Grafts can also repair bone loss caused by some types of fractures (broken bones) or cancers.

Read the full article at MedlinePlus

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

Convert T86.838 to ICD-9-CMHistory

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

ICD-9-CM
996.89 Comp oth organ transplnt
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 T86.838Overview

Is T86.838 (Complications of bone graft) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other complications of bone graft on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does T86.838 group to?

When other complications of bone graft is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T86.838?

Under the General Equivalence Mappings, other complications of bone graft converts to ICD-9-CM 996.89 (comp oth organ transplnt). 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.