2024 ICD-10-CM Diagnosis Code T85
Complications of other internal prosthetic devices, implants and grafts
- ICD-10-CM Code:
- T85
- ICD-10 Code for:
- Complications of internal prosth dev/grft
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T85 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of complications of other internal prosthetic devices, implants and grafts. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Complications of internal prosth dev/grft
Non-specific codes like T85 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for complications of internal prosth dev/grft:
T85.0 for Mechanical complication of ventricular intracranial (communicating) shunt - NON-BILLABLE CODE
T85.01 for Breakdown (mechanical) of ventricular intracranial (communicating) shunt - NON-BILLABLE CODE
T85.02 for Displacement of ventricular intracranial (communicating) shunt - NON-BILLABLE CODE
T85.03 for Leakage of ventricular intracranial (communicating) shunt - NON-BILLABLE CODE
T85.09 for Other mechanical complication of ventricular intracranial (communicating) shunt - NON-BILLABLE CODE
T85.1 for Mechanical complication of implanted electronic stimulator of nervous system - NON-BILLABLE CODE
T85.11 for Breakdown (mechanical) of implanted electronic stimulator of nervous system - NON-BILLABLE CODE
T85.12 for Displacement of implanted electronic stimulator of nervous system - NON-BILLABLE CODE
T85.19 for Other mechanical complication of implanted electronic stimulator of nervous system - NON-BILLABLE CODE
T85.2 for Mechanical complication of intraocular lens - NON-BILLABLE CODE
T85.21 for Breakdown (mechanical) of intraocular lens - NON-BILLABLE CODE
T85.22 for Displacement of intraocular lens - NON-BILLABLE CODE
T85.29 for Other mechanical complication of intraocular lens - NON-BILLABLE CODE
T85.3 for Mechanical complication of other ocular prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.31 for Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.32 for Displacement of other ocular prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.39 for Other mechanical complication of other ocular prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.4 for Mechanical complication of breast prosthesis and implant - NON-BILLABLE CODE
T85.41 for Breakdown (mechanical) of breast prosthesis and implant - NON-BILLABLE CODE
T85.42 for Displacement of breast prosthesis and implant - NON-BILLABLE CODE
T85.43 for Leakage of breast prosthesis and implant - NON-BILLABLE CODE
T85.44 for Capsular contracture of breast implant - NON-BILLABLE CODE
T85.49 for Other mechanical complication of breast prosthesis and implant - NON-BILLABLE CODE
T85.5 for Mechanical complication of gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.51 for Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.52 for Displacement of gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.59 for Other mechanical complication of gastrointestinal prosthetic devices, implants and - NON-BILLABLE CODE
T85.6 for Mechanical complication of other specified internal and external prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.61 for Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.62 for Displacement of other specified internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.63 for Leakage of other specified internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.69 for Other mechanical complication of other specified internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.7 for Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.71 for Infection and inflammatory reaction due to peritoneal dialysis catheter - NON-BILLABLE CODE
T85.72 for Infection and inflammatory reaction due to insulin pump - NON-BILLABLE CODE
T85.73 for Infection and inflammatory reaction due to nervous system devices, implants and graft - NON-BILLABLE CODE
T85.79 for Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts - NON-BILLABLE CODE
T85.8 for Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.81 for Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.82 for Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.83 for Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.84 for Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.85 for Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.86 for Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.89 for Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified - NON-BILLABLE CODE
T85.9 for Unspecified complication of internal prosthetic device, implant and graft - NON-BILLABLE CODE
Coding Guidelines
The appropriate 7th character is to be added to each code from block Complications of other internal prosthetic devices, implants and grafts (T85). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- failure and rejection of transplanted organs and tissue T86
7th Character Note
7th Character NoteCertain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category T85
7th Character
7th CharacterIndicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
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
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.