Version 2024

2024 ICD-10-CM Diagnosis Code T82.9XXA

Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter

ICD-10-CM Code:: T82.9XXA
ICD-10 Code for:: Unsp comp of cardiac and vascular prosth dev/grft, init
Is Billable?: Yes - Valid for Submission
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

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 cardiac and vascular prosthetic devices, implants and grafts
    (T82)

T82.9XXA is a billable diagnosis code used to specify a medical diagnosis of unspecified complication of cardiac and vascular prosthetic device, implant and graft, 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.

T82.9XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified complication of cardiac and vascular prosthetic device implant and graft. 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.

Unspecified diagnosis codes like T82.9XXA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

Complication associated with cardiac implant
Complication associated with cardiac pacemaker lead
Complication associated with dialysis catheter
Complication associated with peripherally inserted central catheter
Complication associated with vascular device
Complication associated with vascular implant
Complication due to and following superior cavopulmonary anastomosis
Complication due to cardiac conduit operation
Complication due to creation of shunt left-to-right systemic to pulmonary circulation
Complication of intravascular line
Complication of totally implantable venous access device
Dialysis catheter in situ unusable
Disorder of aortic valve prosthesis
Disorder of aortic valve prosthesis
Disorder of aortic valve prosthesis
Disorder of aortic valve prosthesis
Disorder of arteriovenous graft
Disorder of arteriovenous shunt
Disorder of atrioventricular valve prosthesis
Disorder of cardiac pacemaker electrode
Disorder of cardiac pacemaker system
Disorder of cardiovascular prostheses and implants
Disorder of implanted cardiac defibrillator electrode
Disorder of implanted defibrillator generator
Disorder of intra-aortic pulsation balloon
Disorder of left atrioventricular valve prosthesis
Disorder of mitral valve prosthesis
Disorder of mitral valve prosthesis
Disorder of mitral valve prosthesis
Disorder of pacemaker pulse generator
Disorder of prosthetic cardiac valve
Disorder of pulmonary valve prosthesis
Disorder of right atrioventricular valve prosthesis
Disorder of surgical arteriovenous fistula
Disorder of tricuspid valve prosthesis
Disorder of tricuspid valve prosthesis
Disorder of tricuspid valve prosthesis
Disorder of tricuspid valve prosthesis
Disorder of truncal valve prosthesis
Disorder of vascular graft
Disorder of vena cava umbrella
Failure of cardiac valve prosthesis
Failure of cardiac valve prosthesis
Failure of cardiac valve prosthesis
Failure of cardiac valve prosthesis
Failure of cardiac valve prosthesis
Inadequate aortic balloon augmentation
Intrahepatic portal shunt malfunction
Malfunction of cardiac pacemaker
Mechanical complication of cardiac pacemaker
Mechanical complication of intra-aortic balloon
Portocaval shunt malfunction
Postprocedural inferior vena cava complication
Prosthetic aortic valve failure
Prosthetic aortic valve failure requiring replacement
Prosthetic aortic valve failure requiring revision
Prosthetic mitral valve failure
Prosthetic mitral valve failure
Prosthetic mitral valve failure requiring replacement
Prosthetic mitral valve failure requiring revision
Prosthetic tricuspid valve failure
Prosthetic tricuspid valve failure requiring replacement
Prosthetic tricuspid valve failure requiring revision

Clinical Classification

Clinical Category is Complication of cardiovascular device, implant or graft, initial encounter
CCSR Category Code: INJ033
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 cardiac and vascular prosthetic devices, implants and grafts (T82). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

T82.9XXA is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	05	2.0935
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	05	0.9673
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	05	0.6927

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert T82.9XXA to ICD-9-CM

ICD-9-CM Code: 996.71 - Comp-heart valve prosth
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.
ICD-9-CM Code: 996.72 - Comp-oth cardiac device
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.
ICD-9-CM Code: 996.74 - Comp-oth vasc dev/graft
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.

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

T82 Complications of cardiac and vascular prosthetic devices, implants and grafts.
T82.0 Mechanical complication of heart valve prosthesis.
T82.01 Breakdown (mechanical) of heart valve prosthesis.
T82.01XA Breakdown (mechanical) of heart valve prosthesis, initial encounter.
T82.01XD Breakdown (mechanical) of heart valve prosthesis, subsequent encounter.
T82.01XS Breakdown (mechanical) of heart valve prosthesis, sequela.
T82.02 Displacement of heart valve prosthesis.
T82.02XA Displacement of heart valve prosthesis, initial encounter.
T82.02XD Displacement of heart valve prosthesis, subsequent encounter.
T82.02XS Displacement of heart valve prosthesis, sequela.
T82.03 Leakage of heart valve prosthesis.
T82.03XA Leakage of heart valve prosthesis, initial encounter.
T82.03XD Leakage of heart valve prosthesis, subsequent encounter.
T82.03XS Leakage of heart valve prosthesis, sequela.
T82.09 Other mechanical complication of heart valve prosthesis.
T82.09XA Other mechanical complication of heart valve prosthesis, initial encounter.
T82.09XD Other mechanical complication of heart valve prosthesis, subsequent encounter.
T82.09XS Other mechanical complication of heart valve prosthesis, sequela.
T82.1 Mechanical complication of cardiac electronic device.
T82.11 Breakdown (mechanical) of cardiac electronic device.
T82.110 Breakdown (mechanical) of cardiac electrode.
T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter.
T82.110D Breakdown (mechanical) of cardiac electrode, subsequent encounter.
T82.110S Breakdown (mechanical) of cardiac electrode, sequela.
T82.111 Breakdown (mechanical) of cardiac pulse generator (battery).
T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter.
T82.111D Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter.
T82.111S Breakdown (mechanical) of cardiac pulse generator (battery), sequela.
T82.118 Breakdown (mechanical) of other cardiac electronic device.
T82.118A Breakdown (mechanical) of other cardiac electronic device, initial encounter.
T82.118D Breakdown (mechanical) of other cardiac electronic device, subsequent encounter.
T82.118S Breakdown (mechanical) of other cardiac electronic device, sequela.
T82.119 Breakdown (mechanical) of unspecified cardiac electronic device.
T82.119A Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter.
T82.119D Breakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter.
T82.119S Breakdown (mechanical) of unspecified cardiac electronic device, sequela.
T82.12 Displacement of cardiac electronic device.
T82.120 Displacement of cardiac electrode.
T82.120A Displacement of cardiac electrode, initial encounter.
T82.120D Displacement of cardiac electrode, subsequent encounter.
T82.120S Displacement of cardiac electrode, sequela.
T82.121 Displacement of cardiac pulse generator (battery).
T82.121A Displacement of cardiac pulse generator (battery), initial encounter.
T82.121D Displacement of cardiac pulse generator (battery), subsequent encounter.
T82.121S Displacement of cardiac pulse generator (battery), sequela.
T82.128 Displacement of other cardiac electronic device.
T82.128A Displacement of other cardiac electronic device, initial encounter.
T82.128D Displacement of other cardiac electronic device, subsequent encounter.
T82.128S Displacement of other cardiac electronic device, sequela.
T82.129 Displacement of unspecified cardiac electronic device.
T82.129A Displacement of unspecified cardiac electronic device, initial encounter.

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.