T86.8413
T86.8413 — Corneal transplant failure, bilateral
Billable / specific codeICD-10-CMbilateral
T86.8413 is a billable, specific ICD-10-CM code for corneal transplant failure, bilateral. It is valid for submission on a claim.
Risk adjustment
T86.8413 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T86.8413 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56457Billing and Coding: Corneal Pachymetry
- A56464Billing and Coding: Flow Cytometry
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Code history
T86.8413 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share T86.841. If T86.8413 is not quite right, the correct code is usually one of these.
Questions about T86.8413
- Is T86.8413 a billable ICD-10-CM code?
- Yes. T86.8413 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T86.8413 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).