2024 ICD-10-CM Diagnosis Code T85.79XS

Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela

ICD-10-CM Code:
T85.79XS
ICD-10 Code for:
Infect/inflm react due to oth int 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 other internal prosthetic devices, implants and grafts
        (T85)

T85.79XS is a billable diagnosis code used to specify a medical diagnosis of infection and inflammatory reaction due to other internal 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.

T85.79XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like infection and inflammatory reaction due to other internal 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:

  • Allergic contact dermatitis caused by chemical
  • Allergic contact dermatitis caused by metal and/or metal compound
  • Allergic contact dermatitis caused by nickel from implant
  • Apical periodontitis
  • Bilateral chronic otitis media of ears following insertion of tympanic ventilation tube
  • Bilateral hyphema of eyes
  • Bilateral open-angle glaucoma
  • Bilateral uveitis-glaucoma-hyphema syndrome of eyes
  • Brain ventricular shunt infection
  • Chronic otitis media after insertion of tympanic ventilation tube
  • Chronic otitis media after insertion of tympanic ventilation tube
  • Chronic otitis media after insertion of tympanic ventilation tube
  • Chronic otitis media after insertion of tympanic ventilation tube
  • Chronic otitis media of bilateral ears
  • Chronic otitis media of left ear following insertion of tympanic ventilation tube
  • Chronic otitis media of left ear following insertion of tympanic ventilation tube
  • Chronic otitis media of right ear following insertion of tympanic ventilation tube
  • Chronic otitis media of right ear following insertion of tympanic ventilation tube
  • Complete dental peri-implantitis
  • Contact dermatitis due to nickel
  • Dental peri-implantitis
  • Dental peri-implantitis
  • Dental peri-implantitis
  • Dental peri-implantitis
  • Dental peri-implantitis
  • Dental peri-implantitis due to dental biofilm
  • Dental prosthesis infection
  • Dental prosthesis infection
  • Disorder of bile duct stent
  • Disorder of brain ventricular shunt
  • Disorder of implanted esophageal antireflux device
  • Disorder of pancreatic stent
  • Glaucoma with intraocular hemorrhage
  • Glaucoma with intraocular hemorrhage
  • Glaucoma with intraocular hemorrhage
  • Glaucoma with intraocular hemorrhage
  • Hemorrhage associated with implant
  • Hemorrhage associated with implant
  • Hemorrhage associated with implant
  • Hemorrhage associated with implant
  • Hyphema of left eye
  • Hyphema of left eye
  • Hyphema of right eye
  • Hyphema of right eye
  • Implant site pocket infection
  • Implant site reaction
  • Infected hernioplasty mesh
  • Infected tissue expander
  • Infection AND/OR inflammatory reaction due to internal prosthetic device, implant AND/OR graft
  • Infection associated with catheter
  • Infection associated with device
  • Infection associated with implant
  • Infection associated with neurological device
  • Infection of biliary stent
  • Infection of breast implant
  • Infection of catheter exit site
  • Infection of esophageal antireflux device
  • Infection of left breast implant
  • Infection of pancreatic stent
  • Infection of right breast implant
  • Infection of ventriculoperitoneal shunt
  • Infective endocarditis of heterograft
  • Inflammation associated with device
  • Inflammation associated with implant
  • Inflammation associated with neurological device
  • Inflammatory lesion of periapical tissue surrounding dental implant
  • Inflammatory reaction of eye due to intraocular lens implant
  • Intraocular lens associated postoperative inflammation
  • Intraocular lens associated postoperative inflammation
  • Intraocular lens associated postoperative inflammation
  • Intraocular lens associated postoperative inflammation
  • Intraocular lens associated postoperative inflammation
  • Partial dental peri-implantitis
  • Peri-implant mucositis
  • Periodontitis caused by dental appliance
  • Postoperative uveitis
  • Postoperative uveitis
  • Postoperative uveitis
  • Postoperative uveitis
  • Postoperative uveitis
  • Pressure injury caused by device
  • Prosthetic infection
  • Tissue expander disorder
  • Uveitis-glaucoma-hyphema syndrome
  • Uveitis-glaucoma-hyphema syndrome
  • Uveitis-glaucoma-hyphema syndrome
  • Uveitis-glaucoma-hyphema syndrome
  • Uveitis-hyphema-glaucoma syndrome of left eye
  • Uveitis-hyphema-glaucoma syndrome of left eye
  • Uveitis-hyphema-glaucoma syndrome of right eye
  • Uveitis-hyphema-glaucoma syndrome of right eye
  • Ventriculoperitoneal shunt-associated peritonitis

Clinical Classification

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

Present on Admission (POA)

T85.79XS 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 T85.79XS 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.

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.