ICDcodes.org
FY2027

T86.831 — Bone graft failure

BillableCC

Is T86.831 billable?

Yes — T86.831 is billable for FY2027. T86.831 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T86.831 may be submitted for encounters from October 1, 2026 through September 30, 2027.

T86.831 at a glance

CodeT86.831
DescriptionBone graft failure
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does T86.831 group to?

T86.831 sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 919Complications of Treatment with MCCmedical
  • 920Complications of Treatment with CCmedical
  • 921Complications of Treatment without CC/MCCmedical

As a secondary diagnosis, T86.831 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is T86.831 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to T86.831. They show the wording a clinician may have documented, which often differs from the Tabular description.

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

Use additional code — inherited from Chapter 19

Report an additional code alongside T86.831 to fully describe the condition. T86.831 is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Use additional code — inherited from T80-T88

Report an additional code alongside T86.831 to fully describe the condition. T86.831 is sequenced first.

  • 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)

Use additional code — inherited from T86

Report an additional code alongside T86.831 to fully describe the condition. T86.831 is sequenced first.

  • 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)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T86.831, but a patient may have both at the same time. When documentation supports it, T86.831 and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from T80-T88

The conditions below are not part of T86.831, but a patient may have both at the same time. When documentation supports it, T86.831 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from T86.83

The conditions below are not part of T86.831, but a patient may have both at the same time. When documentation supports it, T86.831 and the excluded code may both be reported.

  • mechanical complications of bone graft (T84.3-)

How long has T86.831 existed?

T86.831 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the T86.83 family? (4)