2024 ICD-10-CM Diagnosis Code T84.84XS

Pain due to internal orthopedic prosthetic devices, implants and grafts, sequela

ICD-10-CM Code:
T84.84XS
ICD-10 Code for:
Pain due to internal orthopedic prosth dev/grft, sequela
Is Billable?
Yes - 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 internal orthopedic prosthetic devices, implants and grafts
        (T84)

T84.84XS is a billable diagnosis code used to specify a medical diagnosis of pain due to internal orthopedic prosthetic devices, implants and grafts, 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. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T84.84XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like pain due to internal orthopedic prosthetic devices implants and grafts. 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.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral chronic pain following total hip arthroplasty
  • Bilateral hip joint pain
  • Bilateral total knee chronic pain following arthroplasty
  • Chronic pain following left total hip arthroplasty
  • Chronic pain following left total hip arthroplasty
  • Chronic pain following left total knee arthroplasty
  • Chronic pain following right total hip arthroplasty
  • Chronic pain following right total hip arthroplasty
  • Chronic pain following right total knee arthroplasty
  • Hip pain
  • Hip pain
  • Hip pain
  • Hip pain
  • Pain associated with internal prosthetic device
  • Pain associated with prosthesis of hip joint
  • Pain associated with prosthesis of knee joint
  • Pain due to and following left wrist arthroplasty
  • Pain due to and following right wrist arthroplasty
  • Pain due to and following wrist arthroplasty
  • Pain due to and following wrist arthroplasty
  • Pain due to and following wrist arthroplasty
  • Pain due to shoulder joint prosthesis
  • Pain in right hip joint
  • Pain in right hip joint
  • Pain in wrist
  • Pain in wrist
  • Pain in wrist
  • Pain of bilateral knee joints
  • Pain of bilateral knee regions
  • Pain of left hip joint
  • Pain of left hip joint
  • Pain of left knee joint
  • Pain of left knee joint
  • Pain of left knee region
  • Pain of left knee region
  • Pain of left wrist
  • Pain of right knee joint
  • Pain of right knee joint
  • Pain of right knee region
  • Pain of right knee region
  • Pain of right wrist
  • Persistent prosthetic joint pain
  • Shoulder joint pain
  • Wrist joint pain
  • Wrist joint pain
  • Wrist joint pain

Clinical Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Complications of internal orthopedic prosthetic devices, implants and grafts (T84). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

T84.84XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T84.84XS 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.

Patient Education


Pain

Pain is a signal in your nervous system that something may be wrong. It is an unpleasant feeling, such as a prick, tingle, sting, burn, or ache. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen, chest, pelvis, or you may feel pain all over.

Pain can be helpful in diagnosing a problem. If you never felt pain, you might seriously hurt yourself without knowing it, or you might not realize you have a medical problem that needs treatment.

There are two types of pain: acute and chronic. Acute pain usually comes on suddenly, because of a disease, injury, or inflammation. It can often be diagnosed and treated. It usually goes away, though sometimes it can turn into chronic pain. Chronic pain lasts for a long time, and can cause severe problems.

Pain is not always curable, but there are many ways to treat it. Treatment depends on the cause and type of pain. There are drug treatments, including pain relievers. There are also non-drug treatments, such as acupuncture, physical therapy, and sometimes surgery.

NIH: National Institute of Neurological Disorders and Stroke


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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.