T86.31 Heart-lung transplant rejection

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)

• CMS-HCC V28: HCC 276 — Lung Transplant Status/Complications

MS-DRG index

Defines the logic of DRG(s) 314-316 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 996.83 Complications of transplanted heart (approximate)
• 996.84 Complications of transplanted lung (approximate)

Code annotations containing back-references to T86.31

Back-references to T86.31

• Code First: J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome ("heart-lung transplant rejection (T86.31)")
• Code First: J4A Chronic lung allograft dysfunction ("heart-lung transplant rejection (T86.31)")

Back-references to T86.3

• Type 1 Excludes: T86.2 Complications of heart transplant ("heart-lung transplant (T86.3-)")
• Type 1 Excludes: T86.81 Complications of lung transplant ("complication of heart-lung transplant (T86.3-)")

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 T86.31

• Complication (s) (from) (of) › transplant › heart › cardiac allograft vasculopathy › rejection
• Complication (s) (from) (of) › transplant › lung › with heart › rejection
• Rejection › transplant › heart › with lung (s)
• Rejection › transplant › lung (s) › with heart

Nearby codes

• T86.29 Other complications of heart transplant
• T86.290 Cardiac allograft vasculopathy
• T86.298 Other complications of heart transplant
• T86.3 Complications of heart-lung transplant
• T86.30 Unspecified complication of heart-lung transplant
• T86.31 Heart-lung transplant rejection (this code)
• T86.32 Heart-lung transplant failure
• T86.33 Heart-lung transplant infection
• T86.39 Other complications of heart-lung transplant
• T86.4 Complications of liver transplant
• T86.40 Unspecified complication of liver transplant