All ICD10 Codes

T85

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Complications of other internal prosthetic devices, implants and grafts

Use a more specific code (1 billable, 9 non-billable)
T85.0Mechanical complication of ventricular intracranial (communicating) shunthas subcodesT85.1Mechanical complication of implanted electronic stimulator of nervous systemhas subcodesT85.2Mechanical complication of intraocular lenshas subcodesT85.3Mechanical complication of other ocular prosthetic devices, implants and graftshas subcodesT85.4Mechanical complication of breast prosthesis and implanthas subcodesT85.5Mechanical complication of gastrointestinal prosthetic devices, implants and graftshas subcodesT85.6Mechanical complication of other specified internal and external prosthetic devices, implants and graftshas subcodesT85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and graftshas subcodesT85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classifiedhas subcodesT85.9Unspecified complication of internal prosthetic device, implant and graft
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 Parent Instructions

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
  • 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)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • failure and rejection of transplanted organs and tissue (T86.-)

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
T80-T88Complications of surgical and medical care, not elsewhere classified (T80-T88)
T85Complications of other internal prosthetic devices, implants and graftsNot billable
T85.0Mechanical complication of ventricular intracranial (communicating) shuntSubcodes
T85.1Mechanical complication of implanted electronic stimulator of nervous systemSubcodes
T85.2Mechanical complication of intraocular lensSubcodes
T85.3Mechanical complication of other ocular prosthetic devices, implants and graftsSubcodes
T85.4Mechanical complication of breast prosthesis and implantSubcodes
T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and graftsSubcodes
T85.6Mechanical complication of other specified internal and external prosthetic devices, implants and graftsSubcodes
T85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and graftsSubcodes
T85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classifiedSubcodes
T85.9Unspecified complication of internal prosthetic device, implant and graftBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to T85:

blockT80-T88
Complications of surgical and medical care, not elsewhere classified (T80-T88)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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