2027 ICD-10-CM Diagnosis Code T85Complications of other internal prosthetic devices, implants and grafts

ICD-10-CM Codes›S00–T88›T80-T88›T85

ICD-10-CM T85
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T85 is a non-billable ICD-10-CM category code for complications of other internal prosthetic devices, implants and grafts, so it cannot be submitted on claims. Use a more specific code from this category instead, such as T85.01XA, T85.01XD, T85.01XS, and T85.02XA.

Code Identity

ICD-10-CM Code
T85
Billable Status
No — Non-Billable Category
Code Describes
Complications of other internal prosthetic devices, implants and grafts
Short Description
Complications of internal prosth dev/grft
Chapter
T80-T88
Complications of surgical and medical care, not elsewhere classified

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT80-T88Complications of surgical and medical care, not elsewhere classified
CategoryT85Complications of other internal prosthetic devices, implants and grafts
This CodeT85Complications of other internal prosthetic devices, implants and grafts

Specific Coding for Complications of internal prosth dev/grftOverview

Non-specific codes like T85 require more characters. Use one of these billable codes instead:

  • T85.0 for Mechanical complication of ventricular intracranial (communicating) shunt

  • T85.01 for Breakdown (mechanical) of ventricular intracranial (communicating) shunt

  • T85.02 for Displacement of ventricular intracranial (communicating) shunt

  • T85.03 for Leakage of ventricular intracranial (communicating) shunt

  • T85.09 for Other mechanical complication of ventricular intracranial (communicating) shunt

  • T85.1 for Mechanical complication of implanted electronic stimulator of nervous system

  • T85.11 for Breakdown (mechanical) of implanted electronic stimulator of nervous system

  • T85.12 for Displacement of implanted electronic stimulator of nervous system

  • T85.19 for Other mechanical complication of implanted electronic stimulator of nervous system

  • T85.2 for Mechanical complication of intraocular lens

  • T85.21 for Breakdown (mechanical) of intraocular lens

  • T85.22 for Displacement of intraocular lens

  • T85.29 for Other mechanical complication of intraocular lens

  • T85.3 for Mechanical complication of other ocular prosthetic devices, implants and grafts

  • T85.31 for Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts

  • T85.32 for Displacement of other ocular prosthetic devices, implants and grafts

  • T85.39 for Other mechanical complication of other ocular prosthetic devices, implants and grafts

  • T85.4 for Mechanical complication of breast prosthesis and implant

  • T85.41 for Breakdown (mechanical) of breast prosthesis and implant

  • T85.42 for Displacement of breast prosthesis and implant

  • T85.43 for Leakage of breast prosthesis and implant

  • T85.44 for Capsular contracture of breast implant

  • T85.49 for Other mechanical complication of breast prosthesis and implant

  • T85.5 for Mechanical complication of gastrointestinal prosthetic devices, implants and grafts

  • T85.51 for Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts

  • T85.52 for Displacement of gastrointestinal prosthetic devices, implants and grafts

  • T85.59 for Other mechanical complication of gastrointestinal prosthetic devices, implants and

  • T85.6 for Mechanical complication of other specified internal and external prosthetic devices, implants and grafts

  • T85.61 for Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts

  • T85.62 for Displacement of other specified internal prosthetic devices, implants and grafts

  • T85.63 for Leakage of other specified internal prosthetic devices, implants and grafts

  • T85.69 for Other mechanical complication of other specified internal prosthetic devices, implants and grafts

  • T85.7 for Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

  • T85.71 for Infection and inflammatory reaction due to peritoneal dialysis catheter

  • T85.72 for Infection and inflammatory reaction due to insulin pump

  • T85.73 for Infection and inflammatory reaction due to nervous system devices, implants and graft

  • T85.79 for Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

  • T85.8 for Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.81 for Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.82 for Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.83 for Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.84 for Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.85 for Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.86 for Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.89 for Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified

  • T85.9 for Unspecified complication of internal prosthetic device, implant and graft

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Complications of other internal prosthetic devices, implants and grafts (T85). 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 T85: its own notes plus those printed at 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.

On T85 itself
  • 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.

  • The appropriate 7th character is to be added to each code from category T85
Values for category T85 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

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

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 T85Overview

Is T85 a billable code?

No. This is a category header that groups the codes for complications of other internal prosthetic devices, implants and grafts, and headers cannot be submitted on claims. Claims for complications of other internal prosthetic devices, implants and grafts need a more specific code from this category, such as T85.01XA, T85.01XD, and T85.01XS.