octoHealth

T86.12

Billable

Kidney transplant failure

Chapter 19: Injury, poisoning and certain other consequences of external causes

Additional Information

From parent codes: S00-T88 (Chapter 19)

Excludes 1 — Not Coded HereFrom S00-T88

Excludes1 means 'NOT CODED HERE!' An Excludes1 note indicates mutually exclusive codes: two conditions that cannot be reported together.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom S00-T88

The 'use additional code' note instructs that a secondary code should be added to provide more detail.

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

Inpatient DRG Payments

DRG 69874,188 discharges

Other Kidney And Urinary Tract Diagnoses With Mcc

Avg. Medicare Payment

$13,077

Total Payment$15,452
Patient Responsibility$2,376
Hospital Charge$74,649
DRG 69931,564 discharges

Other Kidney And Urinary Tract Diagnoses With Cc

Avg. Medicare Payment

$8,251

Total Payment$10,600
Patient Responsibility$2,349
Hospital Charge$49,314
DRG 6736,418 discharges

Other Kidney And Urinary Tract Procedures With Mcc

Avg. Medicare Payment

$33,289

Total Payment$39,987
Patient Responsibility$6,698
Hospital Charge$193,846
DRG 6741,454 discharges

Other Kidney And Urinary Tract Procedures With Cc

Avg. Medicare Payment

$19,714

Total Payment$25,951
Patient Responsibility$6,237
Hospital Charge$119,237
DRG 70026 discharges

Other Kidney And Urinary Tract Diagnoses Without Cc/mcc

Avg. Medicare Payment

$7,587

Total Payment$9,864
Patient Responsibility$2,276
Hospital Charge$39,352