2027 ICD-10-CM Diagnosis Code T84.84XSPain due to internal orthopedic prosthetic devices, implants and grafts, sequela
T84.84XS is a billable ICD-10-CM diagnosis code for pain due to 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 2027 (October 1, 2026 through September 30, 2027) 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
T84.84XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Complications of surgical and medical care, not elsewhere classified (T80-T88).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Bilateral chronic pain following total hip arthroplasty
- Bilateral total knee chronic pain following arthroplasty
- Chronic pain following arthroplasty
- Chronic pain following left total hip arthroplasty
- Chronic pain following left total knee arthroplasty
- Chronic pain following right total hip arthroplasty
- Chronic pain following right total knee arthroplasty
- Pain associated with internal prosthetic device
- Pain associated with prosthesis of hip joint
- Pain associated with prosthesis of knee joint
- Pain due to and following arthroplasty of ankle
- Pain due to and following arthroplasty of elbow arthroplasty
- Pain due to and following arthroplasty of hip
- Pain due to and following arthroplasty of knee
- Pain due to and following arthroplasty of left ankle
- Pain due to and following arthroplasty of left elbow
- Pain due to and following arthroplasty of left hip
- Pain due to and following arthroplasty of left knee
- Pain due to and following arthroplasty of left shoulder arthroplasty
- Pain due to and following arthroplasty of right ankle
- Pain due to and following arthroplasty of right elbow
- Pain due to and following arthroplasty of right hip
- Pain due to and following arthroplasty of right knee
- Pain due to and following arthroplasty of right shoulder
- Pain due to and following arthroplasty of shoulder
- Pain due to and following left wrist arthroplasty
- Pain due to and following right wrist arthroplasty
- Pain due to and following wrist arthroplasty
- Pain due to shoulder joint prosthesis
- Pain of bilateral hip joints
- Pain of bilateral knee joints
- Pain of bilateral knee regions
- Pain of elbow region
- Pain of joint of ankle
- Pain of joint of elbow
- Pain of joint of wrist
- Pain of left ankle joint
- Pain of left elbow joint
- Pain of left hip joint
- Pain of left knee joint
- Pain of left wrist
- Pain of right ankle joint
- Pain of right elbow joint
- Pain of right hip joint
- Pain of right knee joint
- Pain of right wrist
- Pain of wrist region
- Persistent prosthetic joint pain
- Shoulder joint pain
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 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 T84.84XS: its own notes plus those printed at T84, 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.
- 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)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- 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.
- The appropriate 7th character is to be added to each code from category T84
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T84.84XS, its category, or a range that includes it.
Excludes2 5
These codes carry an Excludes2 note naming T84.84XS: its condition is not part of those codes, and both may be reported when the patient has both.
- G89 Pain, not elsewhere classifiedpain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-) names T84.84, which includes this code
- M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiedcomplications of internal orthopedic prosthetic devices, implants and grafts (T84.-) names T84.-, which includes this code
- M96.6 Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone platecomplication of internal orthopedic devices, implants or grafts (T84.-) names T84.-, which includes this code
- T80.1 Vascular complications following infusion, transfusion and therapeutic injectionvascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-) names T84.8-, which includes this code
- T81.7 Vascular complications following a procedure, not elsewhere classifiedembolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-) names T84.8-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 T84.84XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T84.84XSOverview
Is T84.84XS a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report pain due to internal orthopedic prosthetic devices, implants and grafts, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in T84.84XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the pain due to internal orthopedic prosthetic devices, implants and grafts itself has resolved, not the original event.
What MS-DRG does T84.84XS group to?
When pain due to internal orthopedic prosthetic devices, implants and grafts, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T84.84XS 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 pain due to internal orthopedic prosthetic devices, implants and grafts, sequela on inpatient claims. The code appears in the Complications of surgical and medical care, not elsewhere classified (T80-T88) range of the CMS exempt list.
What is the ICD-9 equivalent of T84.84XS?
Under the General Equivalence Mappings, pain due to 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.
