ICD-10 Code T84.498D

Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter

Version 2019 Billable Code POA Exempt

Valid for Submission

T84.498D is a billable code used to specify a medical diagnosis of other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10: T84.498D
Short Description:Mech compl of internal orth devices, implnt and grafts, subs
Long Description:Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Complications of surgical and medical care, not elsewhere classified (T80-T88)
      • Complications of internal orthopedic prosth dev/grft (T84)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T84.498D is grouped in the following groups for version MS-DRG V37.0 applicable from 10/01/2020 through 09/30/2020.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Convert T84.498D to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • V58.89 - Other specfied aftercare (Approximate Flag)

Present on Admission (POA)

T84.498D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bending of bone fixation device
  • Bending of bone fixation device
  • Bending of bone fixation device
  • Bending of bone fixation device
  • Bending of bone fixation device
  • Bending of external fixator
  • Bending of intramedullary nail
  • Bending of plate
  • Bending of screw
  • Bending of spinal fixation device
  • Bone fixation device protrusion
  • Bone fixation device protrusion
  • Bone fixation device protrusion
  • Bone fixation device protrusion
  • Bone fixation device protrusion
  • Breakage of bone fixation device
  • Breakage of bone fixation device
  • Breakage of bone fixation device
  • Breakage of bone fixation device
  • Breakage of bone fixation device
  • Breakage of bone fixation device
  • Breakage of external fixator
  • Breakage of intramedullary nail
  • Breakage of plate
  • Breakage of screw
  • Breakage of spinal fixation device
  • Breakage of wire
  • Disorder of cartilage graft
  • Loosening of musculoskeletal implant
  • Loosening of orthopedic device
  • Mechanical complication associated with orthopedic device
  • Mechanical complication of cartilage graft
  • Mechanical complication of internal fixation device
  • Mechanical complication of internal orthopedic device
  • Mechanical complication of musculoskeletal implant
  • Prominence of intramedullary nail
  • Prominence of plate
  • Prominence of screw
  • Prominence of spinal fixation device
  • Prominence of wire
  • Protrusion of musculoskeletal implant

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.