T86.12 Kidney transplant failure

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from T86 Complications of transplanted organs and tissue

Use additional code

• 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)

Risk adjustment (HCC)

• RxHCC V08: HCC 260 — Kidney Transplant Status

MS-DRG index

Defines the logic of DRG(s) 673-675 in MDC 11.

Approximate ICD-9-CM (GEMs)

• 996.81 Complications of transplanted kidney (approximate)

Code annotations containing back-references to T86.12

Back-references to T86.1

• Code First: D59.39 Other hemolytic-uremic syndrome ("complications of kidney transplant (T86.1-)")

Back-references to T86

• Code First: C80.2 Malignant neoplasm associated with transplanted organ ("complication of transplanted organ (T86.-)")
• Code First: D47.Z1 Post-transplant lymphoproliferative disorder (PTLD) ("complications of transplanted organs and tissue (T86.-)")
• Type 2 Excludes: D89 Other disorders involving the immune mechanism, not elsewhere classified ("transplant failure and rejection (T86.-)")
• Code First: D89.81 Graft-versus-host disease ("complications of transplanted organs and tissue (T86.-)")
• Code First: D89.83 Cytokine release syndrome ("complications of transplanted organs and tissue (T86.-)")
• Type 2 Excludes: T78 Adverse effects, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications occurring during or following medical procedures (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T81 Complications of procedures, not elsewhere classified ("complications of transplanted organs and tissue (T86.-)")
• Type 2 Excludes: T82 Complications of cardiac and vascular prosthetic devices, implants and grafts ("failure and rejection of transplanted organs and tissue (T86.-)")
• Type 2 Excludes: T83 Complications of genitourinary prosthetic devices, implants and grafts ("failure and rejection of transplanted organs and tissue (T86.-)")
• Type 2 Excludes: T84 Complications of internal orthopedic prosthetic devices, implants and grafts ("failure and rejection of transplanted organs and tissues (T86.-)")
• Type 2 Excludes: T85 Complications of other internal prosthetic devices, implants and grafts ("failure and rejection of transplanted organs and tissue (T86.-)")
• Type 1 Excludes: Z98.85 Transplanted organ removal status ("encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)")

Diagnosis Index entries for T86.12

• Complication (s) (from) (of) › transplant › kidney › failure
• Failure, failed › transplant › kidney

Nearby codes

• T86.03 Bone marrow transplant infection
• T86.09 Other complications of bone marrow transplant
• T86.1 Complications of kidney transplant
• T86.10 Unspecified complication of kidney transplant
• T86.11 Kidney transplant rejection
• T86.12 Kidney transplant failure (this code)
• T86.13 Kidney transplant infection
• T86.19 Other complication of kidney transplant
• T86.2 Complications of heart transplant
• T86.20 Unspecified complication of heart transplant
• T86.21 Heart transplant rejection