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  6. 2024 ICD-10-CM Code T85.5
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code T85.5

Mechanical complication of gastrointestinal prosthetic devices, implants and grafts

ICD-10-CM Code:
T85.5
ICD-10 Code for:
Mechanical complication of gastrointestinal 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)

T85.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of mechanical complication of gastrointestinal 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 Mechanical complication of gastrointestinal prosth dev/grft

Non-specific codes like T85.5 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 mechanical complication of gastrointestinal prosth dev/grft:

  • T85.51 for Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • T85.510 for Breakdown (mechanical) of bile duct prosthesis - NON-BILLABLE CODE

  • Use T85.510A for initial encounter - BILLABLE CODE

  • Use T85.510D for subsequent encounter - BILLABLE CODE

  • Use T85.510S for sequela - BILLABLE CODE

  • T85.511 for Breakdown (mechanical) of esophageal anti-reflux device - NON-BILLABLE CODE

  • Use T85.511A for initial encounter - BILLABLE CODE

  • Use T85.511D for subsequent encounter - BILLABLE CODE

  • Use T85.511S for sequela - BILLABLE CODE

  • T85.518 for Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • Use T85.518A for initial encounter - BILLABLE CODE

  • Use T85.518D for subsequent encounter - BILLABLE CODE

  • Use T85.518S for sequela - BILLABLE CODE

  • T85.52 for Displacement of gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • T85.520 for Displacement of bile duct prosthesis - NON-BILLABLE CODE

  • Use T85.520A for initial encounter - BILLABLE CODE

  • Use T85.520D for subsequent encounter - BILLABLE CODE

  • Use T85.520S for sequela - BILLABLE CODE

  • T85.521 for Displacement of esophageal anti-reflux device - NON-BILLABLE CODE

  • Use T85.521A for initial encounter - BILLABLE CODE

  • Use T85.521D for subsequent encounter - BILLABLE CODE

  • Use T85.521S for sequela - BILLABLE CODE

  • T85.528 for Displacement of other gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • Use T85.528A for initial encounter - BILLABLE CODE

  • Use T85.528D for subsequent encounter - BILLABLE CODE

  • Use T85.528S for sequela - BILLABLE CODE

  • T85.59 for Other mechanical complication of gastrointestinal prosthetic devices, implants and - NON-BILLABLE CODE

  • T85.590 for Other mechanical complication of bile duct prosthesis - NON-BILLABLE CODE

  • Use T85.590A for initial encounter - BILLABLE CODE

  • Use T85.590D for subsequent encounter - BILLABLE CODE

  • Use T85.590S for sequela - BILLABLE CODE

  • T85.591 for Other mechanical complication of esophageal anti-reflux device - NON-BILLABLE CODE

  • Use T85.591A for initial encounter - BILLABLE CODE

  • Use T85.591D for subsequent encounter - BILLABLE CODE

  • Use T85.591S for sequela - BILLABLE CODE

  • T85.598 for Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • Use T85.598A for initial encounter - BILLABLE CODE

  • Use T85.598D for subsequent encounter - BILLABLE CODE

  • Use T85.598S for sequela - 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.