Version 2024

2024 ICD-10-CM Diagnosis Code T83.113S

Breakdown (mechanical) of other urinary stents, sequela

ICD-10-CM Code:: T83.113S
ICD-10 Code for:: Breakdown (mechanical) of other urinary stents, sequela
Is Billable?: Yes - Valid for Submission
Code Navigator:

Code Information
Clinical Classification
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Replacement Code
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Injury, poisoning and certain other consequences of external causes
(S00–T88)
- Complications of surgical and medical care, not elsewhere classified
  (T80-T88)
  - Complications of genitourinary prosthetic devices, implants and grafts
    (T83)

T83.113S is a billable diagnosis code used to specify a medical diagnosis of breakdown (mechanical) of other urinary stents, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T83.113S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like breakdown (mechanical) of other urinary stents. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Clinical Classification

Clinical Category is Complication, sequela
CCSR Category Code: INJ076
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Complications of genitourinary prosthetic devices, implants and grafts (T83). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

T83.113S is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	21	1.7449
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	21	1.0114

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

T83113S replaces the following previously assigned ICD-10-CM code(s):

T83.118S - Breakdown of urinary devices and implants, sequela

Convert T83.113S to ICD-9-CM

ICD-9-CM Code: 909.3 - Late eff surg/med compl
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

T83 Complications of genitourinary prosthetic devices, implants and grafts.
T83.0 Mechanical complication of urinary catheter.
T83.01 Breakdown (mechanical) of urinary catheter.
T83.010 Breakdown (mechanical) of cystostomy catheter.
T83.010A Breakdown (mechanical) of cystostomy catheter, initial encounter.
T83.010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter.
T83.010S Breakdown (mechanical) of cystostomy catheter, sequela.
T83.011 Breakdown (mechanical) of indwelling urethral catheter.
T83.011A Breakdown (mechanical) of indwelling urethral catheter, initial encounter.
T83.011D Breakdown (mechanical) of indwelling urethral catheter, subsequent encounter.
T83.011S Breakdown (mechanical) of indwelling urethral catheter, sequela.
T83.012 Breakdown (mechanical) of nephrostomy catheter.
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter.
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter.
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela.
T83.018 Breakdown (mechanical) of other urinary catheter.
T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter.
T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter.
T83.018S Breakdown (mechanical) of other urinary catheter, sequela.
T83.02 Displacement of urinary catheter.
T83.020 Displacement of cystostomy catheter.
T83.020A Displacement of cystostomy catheter, initial encounter.
T83.020D Displacement of cystostomy catheter, subsequent encounter.
T83.020S Displacement of cystostomy catheter, sequela.
T83.021 Displacement of indwelling urethral catheter.
T83.021A Displacement of indwelling urethral catheter, initial encounter.
T83.021D Displacement of indwelling urethral catheter, subsequent encounter.
T83.021S Displacement of indwelling urethral catheter, sequela.
T83.022 Displacement of nephrostomy catheter.
T83.022A Displacement of nephrostomy catheter, initial encounter.
T83.022D Displacement of nephrostomy catheter, subsequent encounter.
T83.022S Displacement of nephrostomy catheter, sequela.
T83.028 Displacement of other urinary catheter.
T83.028A Displacement of other urinary catheter, initial encounter.
T83.028D Displacement of other urinary catheter, subsequent encounter.
T83.028S Displacement of other urinary catheter, sequela.
T83.03 Leakage of urinary catheter.
T83.030 Leakage of cystostomy catheter.
T83.030A Leakage of cystostomy catheter, initial encounter.
T83.030D Leakage of cystostomy catheter, subsequent encounter.
T83.030S Leakage of cystostomy catheter, sequela.
T83.031 Leakage of indwelling urethral catheter.
T83.031A Leakage of indwelling urethral catheter, initial encounter.
T83.031D Leakage of indwelling urethral catheter, subsequent encounter.
T83.031S Leakage of indwelling urethral catheter, sequela.
T83.032 Leakage of nephrostomy catheter.
T83.032A Leakage of nephrostomy catheter, initial encounter.
T83.032D Leakage of nephrostomy catheter, subsequent encounter.
T83.032S Leakage of nephrostomy catheter, sequela.
T83.038 Leakage of other urinary catheter.
T83.038A Leakage of other urinary catheter, initial encounter.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018