2026 ICD-10-CM Diagnosis Code T82.221SBreakdown (mechanical) of biological heart valve graft, sequela
T82.221S is a billable ICD-10-CM diagnosis code for breakdown (mechanical) of biological heart valve graft, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T82.221S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Coronary Artery Bypass Surgery
Coronary artery bypass surgery creates a new path for blood to flow to your heart. This surgery is sometimes called a coronary artery bypass graft (CABG) or heart bypass. It's the most common heart surgery in adults. You may need this surgery if you have a blocked or partially blocked artery in your heart.
The full article covers:
- What is coronary artery bypass surgery?
- Who might benefit from coronary artery bypass surgery?
- What happens during coronary artery bypass surgery?
- Are there any risks from coronary artery bypass surgery?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T82.221S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T82.221SOverview
Is T82.221S (Breakdown (mechanical) of biological heart valve graft) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report breakdown (mechanical) of biological heart valve graft, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T82.221S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the breakdown (mechanical) of biological heart valve graft itself has resolved, not the original event.
What MS-DRG does T82.221S group to?
When breakdown (mechanical) of biological heart valve graft, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T82.221S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for breakdown (mechanical) of biological heart valve graft, sequela on inpatient claims.
What is the ICD-9 equivalent of T82.221S?
Under the General Equivalence Mappings, breakdown (mechanical) of biological heart valve graft, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.
