Corneal transplant failure 1 T86.841 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM T86.841 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of T86.841 - other international versions of ICD-10 T86.841 may differ.
Answer: According to Gordon Johns, MD, author of ICD-10-CM for Ophthalmology: The Complete Reference, this could manifest from many different underlying causes. “Thus, it is far better to use the diagnosis for the underlying process if at all possible. If no other code is applicable, consider ICD-10 code H18.89 Other specified disorders of cornea.
Corneal Dystrophy: H18.5- As previously, the fifth character of corneal dystrophy’s ICD-10 code (H18.5-) represents the type of dystrophy: H18.50- Unspecified hereditary H18.51- Endothelial
If no other code is applicable, consider ICD-10 code H18.89 Other specified disorders of cornea. I believe it would be better to code the underlying scleritis or ulcer, etc. You may also consider using the ectasia code: H15.84- Scleral ectasia .”.
Primary donor graft failure is defined as cornea edema that never clears from the immediate postoperative period secondary to inherent deficiencies in the donor graft, surgical trauma, or improperly stored tissue.
Corneal graft rejection comprises a sequence of complex immune responses that involves the recognition of the foreign histocompatibility antigens of the corneal graft by the host's immune system, leading to the initiation of the immune response cascade.
Failure can occur for a number of reasons, the most common one being endothelial decompensation, either due to graft rejection or "endothelial exhaustion," where enough of the endothelial cells die off and the cornea becomes edematous. When this occurs, the cornea becomes cloudy and vision worsens.
ICD-10 Code for Corneal transplant rejection- T86. 840- Codify by AAPC.
Graft failure (GF) is defined as the failure to achieve sustained engraftment following allogeneic stem cell transplantation (allo-SCT). It is a fatal complication of allo-SCT and is associated with considerable morbidity and mortality, most notably infections and hemorrhagic complications due to marrow hypoplasia.
Graft rejection was defined as at a minimum: anterior chamber inflammation at least one month after the surgical procedure. Graft failure was defined as irreversible cornea edema or opacity. Secondary outcomes were included when presented in the publication but were not necessary for inclusion.
Graft failure, independent of immunologic rejection, may be caused by inadequate or insufficient numbers of donor hematopoietic stem cells. It can be caused by toxin exposure (often medications such as antibiotics) or infections.
Among the most frequent causes of graft failure are immunologic allograft rejection, endothelial decompensation in the absence of any documented immunologic reaction episodes, ocular surface disease, glaucoma, and astigmatism.
A cornea transplant is an operation to remove all or part of a damaged cornea and replace it with healthy donor tissue. A cornea transplant is often referred to as keratoplasty or a corneal graft. It can be used to improve sight, relieve pain and treat severe infection or damage.
Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft)....Corneal transplantationMedlinePlus0030085 more rows
Sample of new ICD-10-CM codes for 2022R05.1Acute coughT80.82xSComplication of immune effector cellular therapy, sequelaU09Post COVID-19 conditionZ71.85Encounter for immunization safety counselingZ92.85Personal history of cellular therapy1 more row•Jul 8, 2021
Corneal Surgery including Corneal Transplant and Refractive SurgeryCPT CodesDescription65755Keratoplasty (Corneal transplant) penetrating (in pseudoaphakia)66999Unlisted procedure, anterior segment of eye65780Ocular surface reconstruction; amniotic membrane transplantation11 more rows
As previously, the fifth character of corneal dystrophy’s ICD-10 code (H18.5-) represents the type of dystrophy:
As previously, the sixth character of the ICD-10 code for a corneal transplant (T86.84-) indicates type of transplant:
Further changes that might be relevant to your practice include the following.
While federal payers implemented these codes on Oct. 1 (apart from the two U07 codes, which were implemented earlier), others may be slower to adopt them. You should therefore: