2026 ICD-10-CM Diagnosis Code T84.7XXSInfection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela
T84.7XXS is a billable ICD-10-CM diagnosis code for infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T84.7XXS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Disorder of cartilage graft
- Disorder of muscle graft
- Disorder of tendon graft
- Disorder of tendon repair
- Graft infection
- Infection associated with musculoskeletal implant
- Infection associated with orthopedic device
- Infection associated with prosthesis of cranium
- Infection of cartilage graft
- Infection of muscle graft
- Infection of tendon graft
- Infection of tendon repair
- Infectious disorder of tendon
- Inflammation associated with musculoskeletal implant
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Complications of internal orthopedic prosthetic devices, implants and grafts (T84). 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 T84.7XXS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T84.7XXSOverview
Is T84.7XXS a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T84.7XXS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts itself has resolved, not the original event.
What MS-DRG does T84.7XXS group to?
When infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T84.7XXS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela on inpatient claims.
What is the ICD-9 equivalent of T84.7XXS?
Under the General Equivalence Mappings, infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.
