2026 ICD-10-CM Diagnosis Code T83.61XAInfection and inflammatory reaction due to implanted penile prosthesis, initial encounter

ICD-10-CM Codes›S00–T88›T80-T88›T83

ICD-10-CM T83.61XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T83.61XA is a billable ICD-10-CM diagnosis code for infection and inflammatory reaction due to 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

ICD-10-CM Code
T83.61XA
Billable Status
Yes — Valid for Submission
Code Describes
Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
Short Description
I/I react d/t implanted penile prosthesis, initial encounter
Parent Code
T83.61
Infection and inflammatory reaction due to implanted penile prosthesis

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 CodeT83.61XAInfection and inflammatory reaction due to implanted penile prosthesis, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Disorder of implanted penile prosthesis
  • Penile prosthesis infection

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 INJ034
Complication of genitourinary device, implant or graft, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert T83.61XA to ICD-9-CMHistory

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

ICD-9-CM
996.65 React-oth genitourin dev
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement T83.61XA replaces the following previously assigned code(s):

  • T83.6XXA - Infect/inflm react d/t prosth dev/grft in genitl trct, init
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 T83.61XAOverview

Is T83.61XA a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report infection and inflammatory reaction due to implanted penile prosthesis, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T83.61XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for infection and inflammatory reaction due to implanted penile prosthesis, such as an emergency visit or first evaluation.

What MS-DRG does T83.61XA group to?

When infection and inflammatory reaction due to 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 T83.61XA?

Under the General Equivalence Mappings, infection and inflammatory reaction due to implanted penile prosthesis, initial encounter converts to ICD-9-CM 996.65 (react-oth genitourin dev). The mapping is approximate, so confirm the match fits the documentation.