Present On Admission Exempt Codes
ICD-10-CM diagnosis codes exempt from POA reporting based on the official FY2026 CMS POA exempt list.
- T85.21XDBillable
Breakdown (mechanical) of intraocular lens, subsequent encounter
- T85.21XSBillable
Breakdown (mechanical) of intraocular lens, sequela
- T85.22XDBillable
Displacement of intraocular lens, subsequent encounter
- T85.22XSBillable
Displacement of intraocular lens, sequela
- T85.29XDBillable
Other mechanical complication of intraocular lens, subsequent encounter
- T85.29XSBillable
Other mechanical complication of intraocular lens, sequela
- T85.310DBillable
Breakdown (mechanical) of prosthetic orbit of right eye, subsequent encounter
- T85.310SBillable
Breakdown (mechanical) of prosthetic orbit of right eye, sequela
- T85.311DBillable
Breakdown (mechanical) of prosthetic orbit of left eye, subsequent encounter
- T85.311SBillable
Breakdown (mechanical) of prosthetic orbit of left eye, sequela
- T85.318DBillable
Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.318SBillable
Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela
- T85.320DBillable
Displacement of prosthetic orbit of right eye, subsequent encounter
- T85.320SBillable
Displacement of prosthetic orbit of right eye, sequela
- T85.321DBillable
Displacement of prosthetic orbit of left eye, subsequent encounter
- T85.321SBillable
Displacement of prosthetic orbit of left eye, sequela
- T85.328DBillable
Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.328SBillable
Displacement of other ocular prosthetic devices, implants and grafts, sequela
- T85.390DBillable
Other mechanical complication of prosthetic orbit of right eye, subsequent encounter
- T85.390SBillable
Other mechanical complication of prosthetic orbit of right eye, sequela
- T85.391DBillable
Other mechanical complication of prosthetic orbit of left eye, subsequent encounter
- T85.391SBillable
Other mechanical complication of prosthetic orbit of left eye, sequela
- T85.398DBillable
Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.398SBillable
Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
- T85.41XDBillable
Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter
- T85.41XSBillable
Breakdown (mechanical) of breast prosthesis and implant, sequela
- T85.42XDBillable
Displacement of breast prosthesis and implant, subsequent encounter
- T85.42XSBillable
Displacement of breast prosthesis and implant, sequela
- T85.43XDBillable
Leakage of breast prosthesis and implant, subsequent encounter
- T85.43XSBillable
Leakage of breast prosthesis and implant, sequela
- T85.44XDBillable
Capsular contracture of breast implant, subsequent encounter
- T85.44XSBillable
Capsular contracture of breast implant, sequela
- T85.49XDBillable
Other mechanical complication of breast prosthesis and implant, subsequent encounter
- T85.49XSBillable
Other mechanical complication of breast prosthesis and implant, sequela
- T85.510DBillable
Breakdown (mechanical) of bile duct prosthesis, subsequent encounter
- T85.510SBillable
Breakdown (mechanical) of bile duct prosthesis, sequela
- T85.511DBillable
Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounter
- T85.511SBillable
Breakdown (mechanical) of esophageal anti-reflux device, sequela
- T85.518DBillable
Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.518SBillable
Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.520DBillable
Displacement of bile duct prosthesis, subsequent encounter
- T85.520SBillable
Displacement of bile duct prosthesis, sequela
- T85.521DBillable
Displacement of esophageal anti-reflux device, subsequent encounter
- T85.521SBillable
Displacement of esophageal anti-reflux device, sequela
- T85.528DBillable
Displacement of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.528SBillable
Displacement of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.590DBillable
Other mechanical complication of bile duct prosthesis, subsequent encounter
- T85.590SBillable
Other mechanical complication of bile duct prosthesis, sequela
- T85.591DBillable
Other mechanical complication of esophageal anti-reflux device, subsequent encounter
- T85.591SBillable
Other mechanical complication of esophageal anti-reflux device, sequela
- T85.598DBillable
Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
- T85.598SBillable
Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, sequela
- T85.610DBillable
Breakdown (mechanical) of cranial or spinal infusion catheter, subsequent encounter
- T85.610SBillable
Breakdown (mechanical) of cranial or spinal infusion catheter, sequela
- T85.611DBillable
Breakdown (mechanical) of intraperitoneal dialysis catheter, subsequent encounter
- T85.611SBillable
Breakdown (mechanical) of intraperitoneal dialysis catheter, sequela
- T85.612DBillable
Breakdown (mechanical) of permanent sutures, subsequent encounter
- T85.612SBillable
Breakdown (mechanical) of permanent sutures, sequela
- T85.613DBillable
Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.613SBillable
Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela
- T85.614DBillable
Breakdown (mechanical) of insulin pump, subsequent encounter
- T85.614SBillable
Breakdown (mechanical) of insulin pump, sequela
- T85.615DBillable
Breakdown (mechanical) of other nervous system device, implant or graft, subsequent encounter
- T85.615SBillable
Breakdown (mechanical) of other nervous system device, implant or graft, sequela
- T85.618DBillable
Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.618SBillable
Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, sequela
- T85.620DBillable
Displacement of cranial or spinal infusion catheter, subsequent encounter
- T85.620SBillable
Displacement of cranial or spinal infusion catheter, sequela
- T85.621DBillable
Displacement of intraperitoneal dialysis catheter, subsequent encounter
- T85.621SBillable
Displacement of intraperitoneal dialysis catheter, sequela
- T85.622DBillable
Displacement of permanent sutures, subsequent encounter
- T85.622SBillable
Displacement of permanent sutures, sequela
- T85.623DBillable
Displacement of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.623SBillable
Displacement of artificial skin graft and decellularized allodermis, sequela
- T85.624DBillable
Displacement of insulin pump, subsequent encounter
- T85.624SBillable
Displacement of insulin pump, sequela
- T85.625DBillable
Displacement of other nervous system device, implant or graft, subsequent encounter
- T85.625SBillable
Displacement of other nervous system device, implant or graft, sequela
- T85.628DBillable
Displacement of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.628SBillable
Displacement of other specified internal prosthetic devices, implants and grafts, sequela
- T85.630DBillable
Leakage of cranial or spinal infusion catheter, subsequent encounter
- T85.630SBillable
Leakage of cranial or spinal infusion catheter, sequela
- T85.631DBillable
Leakage of intraperitoneal dialysis catheter, subsequent encounter
- T85.631SBillable
Leakage of intraperitoneal dialysis catheter, sequela
- T85.633DBillable
Leakage of insulin pump, subsequent encounter
- T85.633SBillable
Leakage of insulin pump, sequela
- T85.635DBillable
Leakage of other nervous system device, implant or graft, subsequent encounter
- T85.635SBillable
Leakage of other nervous system device, implant or graft, sequela
- T85.638DBillable
Leakage of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.638SBillable
Leakage of other specified internal prosthetic devices, implants and grafts, sequela
- T85.690DBillable
Other mechanical complication of cranial or spinal infusion catheter, subsequent encounter
- T85.690SBillable
Other mechanical complication of cranial or spinal infusion catheter, sequela
- T85.691DBillable
Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounter
- T85.691SBillable
Other mechanical complication of intraperitoneal dialysis catheter, sequela
- T85.692DBillable
Other mechanical complication of permanent sutures, subsequent encounter
- T85.692SBillable
Other mechanical complication of permanent sutures, sequela
- T85.693DBillable
Other mechanical complication of artificial skin graft and decellularized allodermis, subsequent encounter
- T85.693SBillable
Other mechanical complication of artificial skin graft and decellularized allodermis, sequela
- T85.694DBillable
Other mechanical complication of insulin pump, subsequent encounter
- T85.694SBillable
Other mechanical complication of insulin pump, sequela
