Version 2024

2024 ICD-10-CM Diagnosis Code T85.11

Breakdown (mechanical) of implanted electronic stimulator of nervous system

ICD-10-CM Code:
T85.11
ICD-10 Code for:
Breakdown of implanted electronic stimulator of nervous sys
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Complications of surgical and medical care, not elsewhere classified
      (T80-T88)
      • Complications of other internal prosthetic devices, implants and grafts
        (T85)

T85.11 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of breakdown (mechanical) of implanted electronic stimulator of nervous system. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Breakdown of implanted electronic stimulator of nervous sys

Non-specific codes like T85.11 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for breakdown of implanted electronic stimulator of nervous sys:

  • T85.110 for Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead) - NON-BILLABLE CODE

  • Use T85.110A for initial encounter - BILLABLE CODE

  • Use T85.110D for subsequent encounter - BILLABLE CODE

  • Use T85.110S for sequela - BILLABLE CODE

  • T85.111 for Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead) - NON-BILLABLE CODE

  • Use T85.111A for initial encounter - BILLABLE CODE

  • Use T85.111D for subsequent encounter - BILLABLE CODE

  • Use T85.111S for sequela - BILLABLE CODE

  • T85.112 for Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead) - NON-BILLABLE CODE

  • Use T85.112A for initial encounter - BILLABLE CODE

  • Use T85.112D for subsequent encounter - BILLABLE CODE

  • Use T85.112S for sequela - BILLABLE CODE

  • T85.113 for Breakdown (mechanical) of implanted electronic neurostimulator, generator - NON-BILLABLE CODE

  • Use T85.113A for initial encounter - BILLABLE CODE

  • Use T85.113D for subsequent encounter - BILLABLE CODE

  • Use T85.113S for sequela - BILLABLE CODE

  • T85.118 for Breakdown (mechanical) of other implanted electronic stimulator of nervous system - NON-BILLABLE CODE

  • Use T85.118A for initial encounter - BILLABLE CODE

  • Use T85.118D for subsequent encounter - BILLABLE CODE

  • Use T85.118S for sequela - BILLABLE CODE

Coding Guidelines

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 aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.