2026 ICD-10-CM Diagnosis Code T83.86XAThrombosis due to genitourinary prosthetic devices, implants and grafts, initial encounter
T83.86XA is a billable ICD-10-CM diagnosis code for thrombosis 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 698 through 700. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of genitourinary device, implant or graft, initial encounter.
Code Identity
Code Classification
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.
Convert T83.86XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T83.86XAOverview
Is T83.86XA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report thrombosis due to genitourinary prosthetic devices, implants and grafts, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T83.86XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for thrombosis due to genitourinary prosthetic devices, implants and grafts, such as an emergency visit or first evaluation.
What MS-DRG does T83.86XA group to?
When thrombosis due to genitourinary prosthetic devices, implants and grafts, 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 T83.86XA?
Under the General Equivalence Mappings, thrombosis 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.
