Version 2024

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:

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 other internal prosthetic devices, implants and grafts
        (T85)

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

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.