2026 ICD-10-CM Diagnosis Code T83.490AOther mechanical complication of implanted penile prosthesis, initial encounter
T83.490A is a billable ICD-10-CM diagnosis code for other mechanical complication of implanted penile prosthesis, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 698 through 700. Coders also document this condition as disorder of implanted penile prosthesis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of genitourinary device, implant or graft, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Disorder of implanted penile prosthesis
- Extrusion of penile prosthesis
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.
Patient EducationClinical
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Convert T83.490A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T83.490AOverview
Is T83.490A (Other mechanical complication of implanted penile prosthesis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other mechanical complication of implanted penile prosthesis, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T83.490A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for other mechanical complication of implanted penile prosthesis, such as an emergency visit or first evaluation.
What MS-DRG does T83.490A group to?
When other mechanical complication of implanted penile prosthesis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 698, 699, 700, with relative weights from 0.6899 to 1.6544 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T83.490A?
Under the General Equivalence Mappings, other mechanical complication of implanted penile prosthesis, initial encounter converts to ICD-9-CM 996.39 (malfunc gu dev/graft NEC). The mapping is approximate, so confirm the match fits the documentation.
