2024 ICD-10-CM Diagnosis Code T85.848A
Pain due to other internal prosthetic devices, implants and grafts, initial encounter
- ICD-10-CM Code:
- T85.848A
- ICD-10 Code for:
- Pain due to other internal prosth dev/grft, init
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
T85.848A is a billable diagnosis code used to specify a medical diagnosis of pain due to other internal prosthetic devices, implants and grafts, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
T85.848A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like pain due to other internal prosthetic devices implants and grafts. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Pain associated with breast implant
- Pain associated with breast implant
- Pain associated with internal prosthetic device
- Pain associated with internal prosthetic device
- Pain associated with left breast implant
- Pain associated with right breast implant
- Pain from tissue expander
- Pain of left breast
- Pain of right breast
- Tissue expander disorder
Clinical Classification
Clinical Category is Complication of other surgical or medical care, injury, initial encounter
- CCSR Category Code: INJ037
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
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
Replacement Code
T85848A replaces the following previously assigned ICD-10-CM code(s):
- T85.84XA - Pain due to internal prosth dev/grft, NEC, init
Convert T85.848A to ICD-9-CM
- ICD-9-CM Code: 996.79 - Comp-int prost devic NEC
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