Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

Excludes2

  • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
  • artificial opening status (Z93.-)
  • closure of external stoma (Z43.-)
  • fitting and adjustment of external prosthetic device (Z44.-)
  • burns and corrosions from local applications and irradiation (T20-T32)
  • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
  • mechanical complication of respirator [ventilator] (J95.850)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
  • postprocedural fever (R50.82)
  • specified complications classified elsewhere, such as:
  • cerebrospinal fluid leak from spinal puncture (G97.0)
  • colostomy malfunction (K94.0-)
  • disorders of fluid and electrolyte imbalance (E86-E87)
  • functional disturbances following cardiac surgery (I97.0-I97.1)
  • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • postgastric surgery syndromes (K91.1)
  • postlaminectomy syndrome NEC (M96.1)
  • postmastectomy lymphedema syndrome (I97.2)
  • postsurgical blind-loop syndrome (K91.2)
  • ventilator associated pneumonia (J95.851)
  1. T86 Complications of transplanted organs and tissue

    Use additional code to identify other transplant complications, such as:
    graft-versus-host disease (D89.81-)
    malignancy associated with organ transplant (C80.2)
    post-transplant lymphoproliferative disorders (PTLD) (D47.Z1)

    1. T86.0 Complications of bone marrow transplant

      1. T86.00 Unspecified complication of bone marrow transplant

      2. T86.01 Bone marrow transplant rejection

      3. T86.02 Bone marrow transplant failure

      4. T86.03 Bone marrow transplant infection

      5. T86.09 Other complications of bone marrow transplant

    2. T86.1 Complications of kidney transplant

      1. T86.10 Unspecified complication of kidney transplant

      2. T86.11 Kidney transplant rejection

      3. T86.12 Kidney transplant failure

      4. T86.13 Kidney transplant infection

      5. T86.19 Other complication of kidney transplant

    3. T86.2 Complications of heart transplant

      1. T86.20 Unspecified complication of heart transplant

      2. T86.21 Heart transplant rejection

      3. T86.22 Heart transplant failure

      4. T86.23 Heart transplant infection

      5. T86.29 Other complications of heart transplant

        • T86.290 Cardiac allograft vasculopathy
        • T86.298 Other complications of heart transplant
    4. T86.3 Complications of heart-lung transplant

      1. T86.30 Unspecified complication of heart-lung transplant

      2. T86.31 Heart-lung transplant rejection

      3. T86.32 Heart-lung transplant failure

      4. T86.33 Heart-lung transplant infection

      5. T86.39 Other complications of heart-lung transplant

    5. T86.4 Complications of liver transplant

      1. T86.40 Unspecified complication of liver transplant

      2. T86.41 Liver transplant rejection

      3. T86.42 Liver transplant failure

      4. T86.43 Liver transplant infection

      5. T86.49 Other complications of liver transplant

    6. T86.5 Complications of stem cell transplant

      Inclusion term(s):

      • Complications from stem cells from peripheral blood
      • Complications from stem cells from umbilical cord
    7. T86.8 Complications of other transplanted organs and tissues

      1. T86.81 Complications of lung transplant

        • T86.810 Lung transplant rejection
        • T86.811 Lung transplant failure
        • T86.812 Lung transplant infection
        • T86.818 Other complications of lung transplant
        • T86.819 Unspecified complication of lung transplant
      2. T86.82 Complications of skin graft (allograft) (autograft)

        • T86.820 Skin graft (allograft) rejection
        • T86.821 Skin graft (allograft) (autograft) failure
        • T86.822 Skin graft (allograft) (autograft) infection
        • T86.828 Other complications of skin graft (allograft) (autograft)
        • T86.829 Unspecified complication of skin graft (allograft) (autograft)
      3. T86.83 Complications of bone graft

        • T86.830 Bone graft rejection
        • T86.831 Bone graft failure
        • T86.832 Bone graft infection
        • T86.838 Other complications of bone graft
        • T86.839 Unspecified complication of bone graft
      4. T86.84 Complications of corneal transplant

        • T86.840 Corneal transplant rejection
        • T86.841 Corneal transplant failure
        • T86.842 Corneal transplant infection
        • T86.848 Other complications of corneal transplant
        • T86.849 Unspecified complication of corneal transplant
      5. T86.85 Complication of intestine transplant

        • T86.850 Intestine transplant rejection
        • T86.851 Intestine transplant failure
        • T86.852 Intestine transplant infection
        • T86.858 Other complications of intestine transplant
        • T86.859 Unspecified complication of intestine transplant
      6. T86.89 Complications of other transplanted tissue

        Inclusion term(s):

        • Transplant failure or rejection of pancreas
        • T86.890 Other transplanted tissue rejection
        • T86.891 Other transplanted tissue failure
        • T86.892 Other transplanted tissue infection
        • T86.898 Other complications of other transplanted tissue
        • T86.899 Unspecified complication of other transplanted tissue
    8. T86.9 Complication of unspecified transplanted organ and tissue

      1. T86.90 Unspecified complication of unspecified transplanted organ and tissue

      2. T86.91 Unspecified transplanted organ and tissue rejection

      3. T86.92 Unspecified transplanted organ and tissue failure

      4. T86.93 Unspecified transplanted organ and tissue infection

      5. T86.99 Other complications of unspecified transplanted organ and tissue

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.