2027 ICD-10-CM Diagnosis Code T83.84XAPain due to genitourinary prosthetic devices, implants and grafts, initial encounter

ICD-10-CM Codes›S00–T88›T80-T88›T83

ICD-10-CM T83.84XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T83.84XA is a billable ICD-10-CM diagnosis code for pain due to genitourinary prosthetic devices, implants and grafts, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 698 through 700. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 188 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of genitourinary device, implant or graft, initial encounter.

T83.84XA no longer risk-adjusts for Medicare Advantage: it mapped to HCC 176 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 176, ESRD (V21) category 176, and ESRD (V24) category 176 for payment year 2027.

Code Identity

ICD-10-CM Code
T83.84XA
Billable Status
Yes — Valid for Submission
Code Describes
Pain due to genitourinary prosthetic devices, implants and grafts, initial encounter
Short Description
Pain due to genitourinary prosth dev/grft, initial encounter
Parent Code
T83.84
Pain due to genitourinary prosthetic devices, implants and grafts

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 CodeT83.84XAPain due to genitourinary prosthetic devices, implants and grafts, initial encounter

Medicare Risk Adjustment (HCC)Billing

T83.84XA no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 176
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 176 · ESRD (V21): HCC 176 · ESRD (V24): HCC 176
ESRD V21 weights: 0.000 dialysis, 0.599 functioning graft · ESRD V24 weights: 0.000 dialysis, 0.586–1.017 functioning graft
Part D (RxHCC)
Not mapped
T83.84XA does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

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 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 T83.84XA: its own notes plus those printed at T83, 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.

From T83 Complications of genitourinary prosthetic devices, implants and grafts applies to 246 codes
  • failure and rejection of transplanted organs and tissue (T86.-)
From Block T80-T88 Complications of surgical and medical care, not elsewhere classified applies to 1,683 codes
  • 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)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Block T80-T88 Complications of surgical and medical care, not elsewhere classified applies to 1,683 codes
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • code(s) to identify the specified condition resulting from the complication
  • code to identify devices involved and details of circumstances (Y62-Y82)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From T83 Complications of genitourinary prosthetic devices, implants and grafts applies to 246 codes
  • The appropriate 7th character is to be added to each code from category T83
Values for category T83 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T83.84XA, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming T83.84XA: its condition is not part of those codes, and both may be reported when the patient has both.

  • G89 Pain, not elsewhere classified
    pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-) names T83.84, which includes this code
  • T80.1 Vascular complications following infusion, transfusion and therapeutic injection
    vascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-) names T83.8-, which includes this code

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

Patient EducationClinical

Pain

Pain is a signal in your nervous system that something may be wrong. It is an unpleasant feeling, such as a prick, tingle, sting, burn, or ache. Each person feels pain differently, even if the reason for the pain is the same. Pain may be sharp or dull. It may be mild or severe. Pain may come and go, or it may be constant.

The full article covers:

  • What is pain?
  • What are the types of pain?
  • What causes pain?
  • How is pain diagnosed?
  • What are the treatments for pain?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T83.84XA to ICD-9-CMHistory

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

ICD-9-CM
996.76 Comp-genitourin dev/grft
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T83.84XAOverview

Is T83.84XA a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pain due to genitourinary prosthetic devices, implants and grafts, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in T83.84XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for pain due to genitourinary prosthetic devices, implants and grafts, such as an emergency visit or first evaluation.

What MS-DRG does T83.84XA group to?

When pain due to genitourinary prosthetic devices, implants and grafts, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 699, 698, 700, with relative weights from 0.6740 to 1.6400 depending on complications. Higher weights mean higher Medicare reimbursement.

Is T83.84XA a CC or MCC?

CMS lists T83.84XA as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 188 closely related codes in its exclusion list.

What is the ICD-9 equivalent of T83.84XA?

Under the General Equivalence Mappings, pain due to genitourinary prosthetic devices, implants and grafts, initial encounter converts to ICD-9-CM 996.76 (comp-genitourin dev/grft). The mapping is approximate, so confirm the match fits the documentation.

Does T83.84XA risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. T83.84XA mapped to HCC 176 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 176 (Complications of Specified Implanted Device or Graft), ESRD (V21) category 176 (Complications of Specified Implanted Device or Graft), and ESRD (V24) category 176 (Complications of Specified Implanted Device or Graft).