2026 ICD-10-CM Diagnosis Code T83.012SBreakdown (mechanical) of nephrostomy catheter, sequela

ICD-10-CM Codes›S00–T88›T80-T88›T83

ICD-10-CM T83.012S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T83.012S is a billable ICD-10-CM diagnosis code for breakdown (mechanical) of nephrostomy catheter, 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

ICD-10-CM Code
T83.012S
Billable Status
Yes — Valid for Submission
Code Describes
Breakdown (mechanical) of nephrostomy catheter, sequela
Short Description
Breakdown (mechanical) of nephrostomy catheter, sequela
Same as the full description in the CMS dataset.
Parent Code
T83.012
Breakdown (mechanical) of nephrostomy catheter

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT80-T88Complications of surgical and medical care, not elsewhere classified
CategoryT83Complications of genitourinary prosthetic devices, implants and grafts
This CodeT83.012SBreakdown (mechanical) of nephrostomy catheter, sequela

Present on Admission (POA)Billing

T83.012S 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 genitourinary prosthetic devices, implants and grafts (T83). 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.

CCSR INJ076
Complication, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert T83.012S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
909.3 Late eff surg/med compl
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement T83.012S replaces the following previously assigned code(s):

  • T83.018S - Breakdown (mechanical) of other urinary catheter, sequela
  • T83.018S - Breakdown of indwelling urethral catheter, sequela
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T83.012SOverview

Is T83.012S (Breakdown (mechanical) of nephrostomy catheter) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report breakdown (mechanical) of nephrostomy catheter, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T83.012S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the breakdown (mechanical) of nephrostomy catheter itself has resolved, not the original event.

What MS-DRG does T83.012S group to?

When breakdown (mechanical) of nephrostomy catheter, 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 T83.012S 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 nephrostomy catheter, sequela on inpatient claims.

What is the ICD-9 equivalent of T83.012S?

Under the General Equivalence Mappings, breakdown (mechanical) of nephrostomy catheter, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.