2027 ICD-10-CM Diagnosis Code T82.868SThrombosis due to vascular prosthetic devices, implants and grafts, sequela
T82.868S is a billable ICD-10-CM diagnosis code for thrombosis due to vascular prosthetic devices, implants and grafts, 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 2027 (October 1, 2026 through September 30, 2027) 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
T82.868S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Complications of surgical and medical care, not elsewhere classified (T80-T88).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute deep vein thrombosis of bilateral lower limbs following coronary artery bypass graft
- Acute deep vein thrombosis of bilateral lower limbs following procedure
- Acute deep vein thrombosis of left lower limb following coronary artery bypass graft
- Acute deep vein thrombosis of left lower limb following procedure
- Acute deep vein thrombosis of left upper limb following coronary artery bypass graft
- Acute deep vein thrombosis of left upper limb following procedure
- Acute deep vein thrombosis of right lower limb following coronary artery bypass graft
- Acute deep vein thrombosis of right lower limb following procedure
- Acute deep vein thrombosis of right upper limb following coronary artery bypass graft
- Acute deep vein thrombosis of right upper limb following procedure
- Acute deep vein thrombosis of upper extremity following coronary artery bypass graft
- Acute deep venous thrombosis of bilateral legs
- Acute deep venous thrombosis of left upper extremity
- Acute deep venous thrombosis of lower extremity as complication of procedure
- Acute deep venous thrombosis of lower limb due to and following coronary artery bypass grafting
- Acute deep venous thrombosis of right upper extremity
- Arterial graft thrombosis
- Arterial insufficiency of flap
- Arterial thrombosis of flap
- Arteriovenous graft thrombosis
- Arteriovenous shunt thrombosis
- Chronic deep vein thrombosis of left upper limb following coronary artery bypass graft
- Chronic deep vein thrombosis of left upper limb following procedure
- Chronic deep vein thrombosis of right upper limb following coronary artery bypass graft
- Chronic deep vein thrombosis of right upper limb following procedure
- Chronic deep vein thrombosis of upper limb following coronary artery bypass graft
- Chronic deep venous thrombosis of left upper extremity
- Chronic deep venous thrombosis of lower limb due to and following coronary artery bypass grafting
- Chronic deep venous thrombosis of right upper extremity
- Complication of hemodialysis
- Disorder of arteriovenous shunt
- Disorder of surgical arteriovenous fistula
- Peripheral vascular complication of procedure
- Thrombosis associated with hemodialysis catheter
- Thrombosis associated with vascular catheter
- Thrombosis of aorta due to and following insertion of intra-aortic balloon catheter
- Thrombosis of aortic bifurcation bypass graft
- Thrombosis of arteriovenous graft caused by hemodialysis arteriovenous access device
- Thrombosis of axillofemoral bypass graft
- Thrombosis of blood vessel due to and following insertion of cardiovascular device
- Thrombosis of femorofemoral crossover bypass graft
- Thrombosis of femoropopliteal bypass graft
- Thrombosis of renal artery bypass graft
- Thrombosis of surgically created arteriovenous fistula
- Thrombosis of transplanted vein
- Vascular graft thrombosis
- Venous thrombosis due to central venous access device
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T82.868S: its own notes plus those printed at T82, block T80-T88, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-)
- closure of external stoma (Z43.-)
- fitting and adjustment of external prosthetic device (Z44.-)
- burns and corrosions from local applications and irradiation (T20-T32)
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
- mechanical complication of respirator [ventilator] (J95.850)
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
- postprocedural fever (R50.82)
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0)
- colostomy malfunction (K94.0-)
- disorders of fluid and electrolyte imbalance (E86-E87)
- functional disturbances following cardiac surgery (I97.0-I97.1)
- intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- postgastric surgery syndromes (K91.1)
- postlaminectomy syndrome NEC (M96.1)
- postmastectomy lymphedema syndrome (I97.2)
- postsurgical blind-loop syndrome (K91.2)
- ventilator associated pneumonia (J95.851)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T82
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T82.868S, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming T82.868S: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 5
These codes carry an Excludes2 note naming T82.868S: its condition is not part of those codes, and both may be reported when the patient has both.
- I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectorisembolism or thrombus of coronary artery bypass graft(s) (T82.8-) names T82.8-, which includes this code
- I26 Pulmonary embolismpulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-) names T82.8-, which includes this code
- T80.1 Vascular complications following infusion, transfusion and therapeutic injectionvascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-) names T82.8-, which includes this code
- T81.7 Vascular complications following a procedure, not elsewhere classifiedembolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-) names T82.8-, which includes this code
- Z95 Presence of cardiac and vascular implants and graftscomplications of cardiac and vascular devices, implants and grafts (T82.-) names T82.-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert T82.868S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T82.868SOverview
Is T82.868S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report thrombosis due to vascular prosthetic devices, implants and grafts, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in T82.868S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the thrombosis due to vascular prosthetic devices, implants and grafts itself has resolved, not the original event.
What MS-DRG does T82.868S group to?
When thrombosis due to vascular prosthetic devices, implants and grafts, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T82.868S 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 thrombosis due to vascular prosthetic devices, implants and grafts, sequela on inpatient claims. The code appears in the Complications of surgical and medical care, not elsewhere classified (T80-T88) range of the CMS exempt list.
What is the ICD-9 equivalent of T82.868S?
Under the General Equivalence Mappings, thrombosis due to vascular prosthetic devices, implants and grafts, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.