Complications of other internal prosthetic devices, implants and grafts
In Complications of surgical and medical care, not elsewhere classified (T80-T88), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
288 billable codes under T85: 92 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Excludes2: not included here, code separately if applicable
- failure and rejection of transplanted organs and tissue (T86.-)
Also applies, from Complications of surgical and medical care, not elsewhere classified (T80-T88)
These notes sit on T80-T88 and apply to every code under it, including T85.
Excludes2: not included here, code separately if applicable
- 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)
Use additional code: add a second code for this, listed after this one
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.19.g Complications of care (page 85), covers T85
Use T86 plus a code for the complication only when it affects transplanted organ function. Body system complication codes are sequenced first unless indexed to a T code, and device pain also gets G89.18 or G89.28.
Other Chapter 19 topics:
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
All codes under T85
T85 can't be used on a claim. Pick a billable code below; grey headings group them.
- T85.0Mechanical complication of ventricular intracranial (communicating) shunt
- T85.01Breakdown (mechanical) of ventricular intracranial (communicating) shunt
- T85.01XABreakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
- T85.01XDBreakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.01XSBreakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
- T85.02Displacement of ventricular intracranial (communicating) shunt
- T85.02XADisplacement of ventricular intracranial (communicating) shunt, initial encounter
- T85.02XDDisplacement of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.02XSDisplacement of ventricular intracranial (communicating) shunt, sequela
- T85.03Leakage of ventricular intracranial (communicating) shunt
- T85.03XALeakage of ventricular intracranial (communicating) shunt, initial encounter
- T85.03XDLeakage of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.03XSLeakage of ventricular intracranial (communicating) shunt, sequela
- T85.09Other mechanical complication of ventricular intracranial (communicating) shunt
- T85.09XAOther mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
- T85.09XDOther mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.09XSOther mechanical complication of ventricular intracranial (communicating) shunt, sequela
- T85.1Mechanical complication of implanted electronic stimulator of nervous system
- T85.11Breakdown (mechanical) of implanted electronic stimulator of nervous system
- T85.110Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead)
- T85.110ABreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), initial encounter
- T85.110DBreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
- T85.110SBreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela
- T85.111Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)
- T85.111ABreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
- T85.111DBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
- T85.111SBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
- T85.112Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead)
- T85.112ABreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
- T85.112DBreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
- T85.112SBreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
- T85.113Breakdown (mechanical) of implanted electronic neurostimulator, generator
- T85.113ABreakdown (mechanical) of implanted electronic neurostimulator, generator, initial encounter
- T85.113DBreakdown (mechanical) of implanted electronic neurostimulator, generator, subsequent encounter
- T85.113SBreakdown (mechanical) of implanted electronic neurostimulator, generator, sequela
- T85.118Breakdown (mechanical) of other implanted electronic stimulator of nervous system
- T85.118ABreakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
- T85.118DBreakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
- T85.118SBreakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
- T85.12Displacement of implanted electronic stimulator of nervous system
- T85.120Displacement of implanted electronic neurostimulator of brain electrode (lead)
- T85.120ADisplacement of implanted electronic neurostimulator of brain electrode (lead), initial encounter
- T85.120DDisplacement of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
- T85.120SDisplacement of implanted electronic neurostimulator of brain electrode (lead), sequela
- T85.121Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead)
- T85.121ADisplacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
- T85.121DDisplacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
- T85.121SDisplacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
- T85.122Displacement of implanted electronic neurostimulator of spinal cord electrode (lead)
- T85.122ADisplacement of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
- T85.122DDisplacement of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
- T85.122SDisplacement of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
- T85.123Displacement of implanted electronic neurostimulator, generator
- T85.123ADisplacement of implanted electronic neurostimulator, generator, initial encounter
- T85.123DDisplacement of implanted electronic neurostimulator, generator, subsequent encounter
- T85.123SDisplacement of implanted electronic neurostimulator, generator, sequela
- T85.128Displacement of other implanted electronic stimulator of nervous system
- T85.128ADisplacement of other implanted electronic stimulator of nervous system, initial encounter
- T85.128DDisplacement of other implanted electronic stimulator of nervous system, subsequent encounter
- T85.128SDisplacement of other implanted electronic stimulator of nervous system, sequela
- T85.19Other mechanical complication of implanted electronic stimulator of nervous system
- T85.190Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead)
- T85.190AOther mechanical complication of implanted electronic neurostimulator of brain electrode (lead), initial encounter
- T85.190DOther mechanical complication of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
- T85.190SOther mechanical complication of implanted electronic neurostimulator of brain electrode (lead), sequela
- T85.191Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead)
- T85.191AOther mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
- T85.191DOther mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
- T85.191SOther mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
- T85.192Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead)
- T85.192AOther mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
- T85.192DOther mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
- T85.192SOther mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
- T85.193Other mechanical complication of implanted electronic neurostimulator, generator
- T85.193AOther mechanical complication of implanted electronic neurostimulator, generator, initial encounter
- T85.193DOther mechanical complication of implanted electronic neurostimulator, generator, subsequent encounter
- T85.193SOther mechanical complication of implanted electronic neurostimulator, generator, sequela
- T85.199Other mechanical complication of other implanted electronic stimulator of nervous system
- T85.199AOther mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
- T85.199DOther mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
- T85.199SOther mechanical complication of other implanted electronic stimulator of nervous system, sequela
- T85.2Mechanical complication of intraocular lens
- T85.21Breakdown (mechanical) of intraocular lens
- T85.21XABreakdown (mechanical) of intraocular lens, initial encounter
- T85.21XDBreakdown (mechanical) of intraocular lens, subsequent encounter
- T85.21XSBreakdown (mechanical) of intraocular lens, sequela
- T85.22Displacement of intraocular lens
- T85.22XADisplacement of intraocular lens, initial encounter
- T85.22XDDisplacement of intraocular lens, subsequent encounter
- T85.22XSDisplacement of intraocular lens, sequela
- T85.29Other mechanical complication of intraocular lens
- T85.29XAOther mechanical complication of intraocular lens, initial encounter
- T85.29XDOther mechanical complication of intraocular lens, subsequent encounter
- T85.29XSOther mechanical complication of intraocular lens, sequela
- T85.3Mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.31Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts
- T85.310Breakdown (mechanical) of prosthetic orbit of right eye
- T85.310ABreakdown (mechanical) of prosthetic orbit of right eye, initial encounter
- T85.310DBreakdown (mechanical) of prosthetic orbit of right eye, subsequent encounter
- T85.310SBreakdown (mechanical) of prosthetic orbit of right eye, sequela
- T85.311Breakdown (mechanical) of prosthetic orbit of left eye
- T85.311ABreakdown (mechanical) of prosthetic orbit of left eye, initial encounter
- T85.311DBreakdown (mechanical) of prosthetic orbit of left eye, subsequent encounter
- T85.311SBreakdown (mechanical) of prosthetic orbit of left eye, sequela
- T85.318Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts
- T85.318ABreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounter
- T85.318DBreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.318SBreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela
- T85.32Displacement of other ocular prosthetic devices, implants and grafts
- T85.320Displacement of prosthetic orbit of right eye
- T85.320ADisplacement of prosthetic orbit of right eye, initial encounter
- T85.320DDisplacement of prosthetic orbit of right eye, subsequent encounter
- T85.320SDisplacement of prosthetic orbit of right eye, sequela
- T85.321Displacement of prosthetic orbit of left eye
- T85.321ADisplacement of prosthetic orbit of left eye, initial encounter
- T85.321DDisplacement of prosthetic orbit of left eye, subsequent encounter
- T85.321SDisplacement of prosthetic orbit of left eye, sequela
- T85.328Displacement of other ocular prosthetic devices, implants and grafts
- T85.328ADisplacement of other ocular prosthetic devices, implants and grafts, initial encounter
- T85.328DDisplacement of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.328SDisplacement of other ocular prosthetic devices, implants and grafts, sequela
- T85.39Other mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.390Other mechanical complication of prosthetic orbit of right eye
- T85.390AOther mechanical complication of prosthetic orbit of right eye, initial encounter
- T85.390DOther mechanical complication of prosthetic orbit of right eye, subsequent encounter
- T85.390SOther mechanical complication of prosthetic orbit of right eye, sequela
- T85.391Other mechanical complication of prosthetic orbit of left eye
- T85.391AOther mechanical complication of prosthetic orbit of left eye, initial encounter
- T85.391DOther mechanical complication of prosthetic orbit of left eye, subsequent encounter
- T85.391SOther mechanical complication of prosthetic orbit of left eye, sequela
- T85.398Other mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.398AOther mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter
- T85.398DOther mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.398SOther mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
- T85.4Mechanical complication of breast prosthesis and implant
- T85.41Breakdown (mechanical) of breast prosthesis and implant
- T85.41XABreakdown (mechanical) of breast prosthesis and implant, initial encounter
- T85.41XDBreakdown (mechanical) of breast prosthesis and implant, subsequent encounter
- T85.41XSBreakdown (mechanical) of breast prosthesis and implant, sequela
- T85.42Displacement of breast prosthesis and implant
- T85.42XADisplacement of breast prosthesis and implant, initial encounter
- T85.42XDDisplacement of breast prosthesis and implant, subsequent encounter
- T85.42XSDisplacement of breast prosthesis and implant, sequela
- T85.43Leakage of breast prosthesis and implant
- T85.43XALeakage of breast prosthesis and implant, initial encounter
- T85.43XDLeakage of breast prosthesis and implant, subsequent encounter
- T85.43XSLeakage of breast prosthesis and implant, sequela
- T85.44Capsular contracture of breast implant
- T85.44XACapsular contracture of breast implant, initial encounter
- T85.44XDCapsular contracture of breast implant, subsequent encounter
- T85.44XSCapsular contracture of breast implant, sequela
- T85.49Other mechanical complication of breast prosthesis and implant
- T85.49XAOther mechanical complication of breast prosthesis and implant, initial encounter
- T85.49XDOther mechanical complication of breast prosthesis and implant, subsequent encounter
- T85.49XSOther mechanical complication of breast prosthesis and implant, sequela
- T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
- T85.51Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts
- T85.510Breakdown (mechanical) of bile duct prosthesis
- T85.510ABreakdown (mechanical) of bile duct prosthesis, initial encounter
- T85.510DBreakdown (mechanical) of bile duct prosthesis, subsequent encounter
- T85.510SBreakdown (mechanical) of bile duct prosthesis, sequela
- T85.511Breakdown (mechanical) of esophageal anti-reflux device
- T85.511ABreakdown (mechanical) of esophageal anti-reflux device, initial encounter
- T85.511DBreakdown (mechanical) of esophageal anti-reflux device, subsequent encounter
- T85.511SBreakdown (mechanical) of esophageal anti-reflux device, sequela
- T85.518Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts
- T85.518ABreakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
- T85.518DBreakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.518SBreakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.52Displacement of gastrointestinal prosthetic devices, implants and grafts
- T85.520Displacement of bile duct prosthesis
- T85.520ADisplacement of bile duct prosthesis, initial encounter
- T85.520DDisplacement of bile duct prosthesis, subsequent encounter
- T85.520SDisplacement of bile duct prosthesis, sequela
- T85.521Displacement of esophageal anti-reflux device
- T85.521ADisplacement of esophageal anti-reflux device, initial encounter
- T85.521DDisplacement of esophageal anti-reflux device, subsequent encounter
- T85.521SDisplacement of esophageal anti-reflux device, sequela
- T85.528Displacement of other gastrointestinal prosthetic devices, implants and grafts
- T85.528ADisplacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
- T85.528DDisplacement of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.528SDisplacement of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.59Other mechanical complication of gastrointestinal prosthetic devices, implants and
- T85.590Other mechanical complication of bile duct prosthesis
- T85.590AOther mechanical complication of bile duct prosthesis, initial encounter
- T85.590DOther mechanical complication of bile duct prosthesis, subsequent encounter
- T85.590SOther mechanical complication of bile duct prosthesis, sequela
- T85.591Other mechanical complication of esophageal anti-reflux device
- T85.591AOther mechanical complication of esophageal anti-reflux device, initial encounter
- T85.591DOther mechanical complication of esophageal anti-reflux device, subsequent encounter
- T85.591SOther mechanical complication of esophageal anti-reflux device, sequela
- T85.598Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts
- T85.598AOther mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
- T85.598DOther mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.598SOther mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.6Mechanical complication of other specified internal and external prosthetic devices, implants and grafts
- T85.61Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts
- T85.610Breakdown (mechanical) of cranial or spinal infusion catheter
- T85.610ABreakdown (mechanical) of cranial or spinal infusion catheter, initial encounter
- T85.610DBreakdown (mechanical) of cranial or spinal infusion catheter, subsequent encounter
- T85.610SBreakdown (mechanical) of cranial or spinal infusion catheter, sequela
- T85.611Breakdown (mechanical) of intraperitoneal dialysis catheter
- T85.611ABreakdown (mechanical) of intraperitoneal dialysis catheter, initial encounter
- T85.611DBreakdown (mechanical) of intraperitoneal dialysis catheter, subsequent encounter
- T85.611SBreakdown (mechanical) of intraperitoneal dialysis catheter, sequela
- T85.612Breakdown (mechanical) of permanent sutures
- T85.612ABreakdown (mechanical) of permanent sutures, initial encounter
- T85.612DBreakdown (mechanical) of permanent sutures, subsequent encounter
- T85.612SBreakdown (mechanical) of permanent sutures, sequela
- T85.613Breakdown (mechanical) of artificial skin graft and decellularized allodermis
- T85.613ABreakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
- T85.613DBreakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.613SBreakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela
- T85.614Breakdown (mechanical) of insulin pump
- T85.614ABreakdown (mechanical) of insulin pump, initial encounter
- T85.614DBreakdown (mechanical) of insulin pump, subsequent encounter
- T85.614SBreakdown (mechanical) of insulin pump, sequela
- T85.615Breakdown (mechanical) of other nervous system device, implant or graft
- T85.615ABreakdown (mechanical) of other nervous system device, implant or graft, initial encounter
- T85.615DBreakdown (mechanical) of other nervous system device, implant or graft, subsequent encounter
- T85.615SBreakdown (mechanical) of other nervous system device, implant or graft, sequela
- T85.618Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts
- T85.618ABreakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, initial encounter
- T85.618DBreakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.618SBreakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, sequela
- T85.62Displacement of other specified internal prosthetic devices, implants and grafts
- T85.620Displacement of cranial or spinal infusion catheter
- T85.620ADisplacement of cranial or spinal infusion catheter, initial encounter
- T85.620DDisplacement of cranial or spinal infusion catheter, subsequent encounter
- T85.620SDisplacement of cranial or spinal infusion catheter, sequela
- T85.621Displacement of intraperitoneal dialysis catheter
- T85.621ADisplacement of intraperitoneal dialysis catheter, initial encounter
- T85.621DDisplacement of intraperitoneal dialysis catheter, subsequent encounter
- T85.621SDisplacement of intraperitoneal dialysis catheter, sequela
- T85.622Displacement of permanent sutures
- T85.622ADisplacement of permanent sutures, initial encounter
- T85.622DDisplacement of permanent sutures, subsequent encounter
- T85.622SDisplacement of permanent sutures, sequela
- T85.623Displacement of artificial skin graft and decellularized allodermis
- T85.623ADisplacement of artificial skin graft and decellularized allodermis, initial encounter
- T85.623DDisplacement of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.623SDisplacement of artificial skin graft and decellularized allodermis, sequela
- T85.624Displacement of insulin pump
- T85.624ADisplacement of insulin pump, initial encounter
- T85.624DDisplacement of insulin pump, subsequent encounter
- T85.624SDisplacement of insulin pump, sequela
- T85.625Displacement of other nervous system device, implant or graft
- T85.625ADisplacement of other nervous system device, implant or graft, initial encounter
- T85.625DDisplacement of other nervous system device, implant or graft, subsequent encounter
- T85.625SDisplacement of other nervous system device, implant or graft, sequela
- T85.628Displacement of other specified internal prosthetic devices, implants and grafts
- T85.628ADisplacement of other specified internal prosthetic devices, implants and grafts, initial encounter
- T85.628DDisplacement of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.628SDisplacement of other specified internal prosthetic devices, implants and grafts, sequela
- T85.63Leakage of other specified internal prosthetic devices, implants and grafts
- T85.630Leakage of cranial or spinal infusion catheter
- T85.630ALeakage of cranial or spinal infusion catheter, initial encounter
- T85.630DLeakage of cranial or spinal infusion catheter, subsequent encounter
- T85.630SLeakage of cranial or spinal infusion catheter, sequela
- T85.631Leakage of intraperitoneal dialysis catheter
- T85.631ALeakage of intraperitoneal dialysis catheter, initial encounter
- T85.631DLeakage of intraperitoneal dialysis catheter, subsequent encounter
- T85.631SLeakage of intraperitoneal dialysis catheter, sequela
- T85.633Leakage of insulin pump
- T85.633ALeakage of insulin pump, initial encounter
- T85.633DLeakage of insulin pump, subsequent encounter
- T85.633SLeakage of insulin pump, sequela
- T85.635Leakage of other nervous system device, implant or graft
- T85.635ALeakage of other nervous system device, implant or graft, initial encounter
- T85.635DLeakage of other nervous system device, implant or graft, subsequent encounter
- T85.635SLeakage of other nervous system device, implant or graft, sequela
- T85.638Leakage of other specified internal prosthetic devices, implants and grafts
- T85.638ALeakage of other specified internal prosthetic devices, implants and grafts, initial encounter
- T85.638DLeakage of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.638SLeakage of other specified internal prosthetic devices, implants and grafts, sequela
- T85.69Other mechanical complication of other specified internal prosthetic devices, implants and grafts
- T85.690Other mechanical complication of cranial or spinal infusion catheter
- T85.690AOther mechanical complication of cranial or spinal infusion catheter, initial encounter
- T85.690DOther mechanical complication of cranial or spinal infusion catheter, subsequent encounter
- T85.690SOther mechanical complication of cranial or spinal infusion catheter, sequela
- T85.691Other mechanical complication of intraperitoneal dialysis catheter
- T85.691AOther mechanical complication of intraperitoneal dialysis catheter, initial encounter
- T85.691DOther mechanical complication of intraperitoneal dialysis catheter, subsequent encounter
- T85.691SOther mechanical complication of intraperitoneal dialysis catheter, sequela
- T85.692Other mechanical complication of permanent sutures
- T85.692AOther mechanical complication of permanent sutures, initial encounter
- T85.692DOther mechanical complication of permanent sutures, subsequent encounter
- T85.692SOther mechanical complication of permanent sutures, sequela
- T85.693Other mechanical complication of artificial skin graft and decellularized allodermis
- T85.693AOther mechanical complication of artificial skin graft and decellularized allodermis, initial encounter
- T85.693DOther mechanical complication of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.693SOther mechanical complication of artificial skin graft and decellularized allodermis, sequela
- T85.694Other mechanical complication of insulin pump
- T85.694AOther mechanical complication of insulin pump, initial encounter
- T85.694DOther mechanical complication of insulin pump, subsequent encounter
- T85.694SOther mechanical complication of insulin pump, sequela
- T85.695Other mechanical complication of other nervous system device, implant or graft
- T85.695AOther mechanical complication of other nervous system device, implant or graft, initial encounter
- T85.695DOther mechanical complication of other nervous system device, implant or graft, subsequent encounter
- T85.695SOther mechanical complication of other nervous system device, implant or graft, sequela
- T85.698Other mechanical complication of other specified internal prosthetic devices, implants and grafts
- T85.698AOther mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter
- T85.698DOther mechanical complication of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.698SOther mechanical complication of other specified internal prosthetic devices, implants and grafts, sequela
- T85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
- T85.71Infection and inflammatory reaction due to peritoneal dialysis catheter
- T85.71XAInfection and inflammatory reaction due to peritoneal dialysis catheter, initial encounter
- T85.71XDInfection and inflammatory reaction due to peritoneal dialysis catheter, subsequent encounter
- T85.71XSInfection and inflammatory reaction due to peritoneal dialysis catheter, sequela
- T85.72Infection and inflammatory reaction due to insulin pump
- T85.72XAInfection and inflammatory reaction due to insulin pump, initial encounter
- T85.72XDInfection and inflammatory reaction due to insulin pump, subsequent encounter
- T85.72XSInfection and inflammatory reaction due to insulin pump, sequela
- T85.73Infection and inflammatory reaction due to nervous system devices, implants and graft
- T85.730Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt
- T85.730AInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounter
- T85.730DInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, subsequent encounter
- T85.730SInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela
- T85.731Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)
- T85.731AInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), initial encounter
- T85.731DInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
- T85.731SInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequela
- T85.732Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead)
- T85.732AInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
- T85.732DInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
- T85.732SInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
- T85.733Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead)
- T85.733AInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
- T85.733DInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
- T85.733SInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
- T85.734Infection and inflammatory reaction due to implanted electronic neurostimulator, generator
- T85.734AInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter
- T85.734DInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounter
- T85.734SInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequela
- T85.735Infection and inflammatory reaction due to cranial or spinal infusion catheter
- T85.735AInfection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter
- T85.735DInfection and inflammatory reaction due to cranial or spinal infusion catheter, subsequent encounter
- T85.735SInfection and inflammatory reaction due to cranial or spinal infusion catheter, sequela
- T85.738Infection and inflammatory reaction due to other nervous system device, implant or graft
- T85.738AInfection and inflammatory reaction due to other nervous system device, implant or graft, initial encounter
- T85.738DInfection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter
- T85.738SInfection and inflammatory reaction due to other nervous system device, implant or graft, sequela
- T85.79Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
- T85.79XAInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.79XDInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.79XSInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela
- T85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.81Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.810Embolism due to nervous system prosthetic devices, implants and grafts
- T85.810AEmbolism due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.810DEmbolism due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.810SEmbolism due to nervous system prosthetic devices, implants and grafts, sequela
- T85.818Embolism due to other internal prosthetic devices, implants and grafts
- T85.818AEmbolism due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.818DEmbolism due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.818SEmbolism due to other internal prosthetic devices, implants and grafts, sequela
- T85.82Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.820Fibrosis due to nervous system prosthetic devices, implants and grafts
- T85.820AFibrosis due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.820DFibrosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.820SFibrosis due to nervous system prosthetic devices, implants and grafts, sequela
- T85.828Fibrosis due to other internal prosthetic devices, implants and grafts
- T85.828AFibrosis due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.828DFibrosis due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.828SFibrosis due to other internal prosthetic devices, implants and grafts, sequela
- T85.83Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.830Hemorrhage due to nervous system prosthetic devices, implants and grafts
- T85.830AHemorrhage due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.830DHemorrhage due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.830SHemorrhage due to nervous system prosthetic devices, implants and grafts, sequela
- T85.838Hemorrhage due to other internal prosthetic devices, implants and grafts
- T85.838AHemorrhage due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.838DHemorrhage due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.838SHemorrhage due to other internal prosthetic devices, implants and grafts, sequela
- T85.84Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.840Pain due to nervous system prosthetic devices, implants and grafts
- T85.840APain due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.840DPain due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.840SPain due to nervous system prosthetic devices, implants and grafts, sequela
- T85.848Pain due to other internal prosthetic devices, implants and grafts
- T85.848APain due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.848DPain due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.848SPain due to other internal prosthetic devices, implants and grafts, sequela
- T85.85Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.850Stenosis due to nervous system prosthetic devices, implants and grafts
- T85.850AStenosis due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.850DStenosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.850SStenosis due to nervous system prosthetic devices, implants and grafts, sequela
- T85.858Stenosis due to other internal prosthetic devices, implants and grafts
- T85.858AStenosis due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.858DStenosis due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.858SStenosis due to other internal prosthetic devices, implants and grafts, sequela
- T85.86Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.860Thrombosis due to nervous system prosthetic devices, implants and grafts
- T85.860AThrombosis due to nervous system prosthetic devices, implants and grafts, initial encounter
- T85.860DThrombosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.860SThrombosis due to nervous system prosthetic devices, implants and grafts, sequela
- T85.868Thrombosis due to other internal prosthetic devices, implants and grafts
- T85.868AThrombosis due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.868DThrombosis due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.868SThrombosis due to other internal prosthetic devices, implants and grafts, sequela
- T85.89Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.890Other specified complication of nervous system prosthetic devices, implants and grafts
- T85.890AOther specified complication of nervous system prosthetic devices, implants and grafts, initial encounter
- T85.890DOther specified complication of nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.890SOther specified complication of nervous system prosthetic devices, implants and grafts, sequela
- T85.898Other specified complication of other internal prosthetic devices, implants and grafts
- T85.898AOther specified complication of other internal prosthetic devices, implants and grafts, initial encounter
- T85.898DOther specified complication of other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.898SOther specified complication of other internal prosthetic devices, implants and grafts, sequela
- T85.9Unspecified complication of internal prosthetic device, implant and graft
- T85.9XXAUnspecified complication of internal prosthetic device, implant and graft, initial encounter
- T85.9XXDUnspecified complication of internal prosthetic device, implant and graft, subsequent encounter
- T85.9XXSUnspecified complication of internal prosthetic device, implant and graft, sequela
T85 MS-DRGs
As the principal diagnosis, the billable codes under T85 group to these 14 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 922 Other Injury, Poisoning and Toxic Effect Diagnoses with MCC (96 of 288 codes)
- DRG 923 Other Injury, Poisoning and Toxic Effect Diagnoses without MCC (96 of 288 codes)
- DRG 949 Aftercare with CC/MCC (96 of 288 codes)
- DRG 950 Aftercare without CC/MCC (96 of 288 codes)
- DRG 919 Complications of Treatment with MCC (44 of 288 codes)
- DRG 920 Complications of Treatment with CC (44 of 288 codes)
- DRG 921 Complications of Treatment without CC/MCC (44 of 288 codes)
- DRG 091 Other Disorders of Nervous System with MCC (41 of 288 codes)
- DRG 092 Other Disorders of Nervous System with CC (41 of 288 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (41 of 288 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (6 of 288 codes)
- DRG 125 Other Disorders of the Eye without MCC (6 of 288 codes)
- DRG 600 Non-Malignant Breast Disorders with CC/MCC (5 of 288 codes)
- DRG 601 Non-Malignant Breast Disorders without CC/MCC (5 of 288 codes)
Other codes that refer to T85
Notes on these codes point to T85.
- T81 Excludes2: complication of prosthetic devices, implants and grafts (T82-T85)
- T88 Excludes2: complications of devices, implants and grafts (T82-T85)
- Z96 Excludes2: complications of internal prosthetic devices, implants and grafts (T82-T85)
- Z97 Excludes1: complications of internal prosthetic devices, implants and grafts (T82-T85)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
