Version 2024

2024 ICD-10-CM Diagnosis Code T85.61

Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts

ICD-10-CM Code:
T85.61
ICD-10 Code for:
Breakdown (mechanical) of internal prosth dev/grft
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)

T85.61 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 other specified internal prosthetic devices, implants and grafts. 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 (mechanical) of internal prosth dev/grft

Non-specific codes like T85.61 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 (mechanical) of internal prosth dev/grft:

  • T85.610 for Breakdown (mechanical) of cranial or spinal infusion catheter - NON-BILLABLE CODE

  • Use T85.610A for initial encounter - BILLABLE CODE

  • Use T85.610D for subsequent encounter - BILLABLE CODE

  • Use T85.610S for sequela - BILLABLE CODE

  • T85.611 for Breakdown (mechanical) of intraperitoneal dialysis catheter - NON-BILLABLE CODE

  • Use T85.611A for initial encounter - BILLABLE CODE

  • Use T85.611D for subsequent encounter - BILLABLE CODE

  • Use T85.611S for sequela - BILLABLE CODE

  • T85.612 for Breakdown (mechanical) of permanent sutures - NON-BILLABLE CODE

  • Use T85.612A for initial encounter - BILLABLE CODE

  • Use T85.612D for subsequent encounter - BILLABLE CODE

  • Use T85.612S for sequela - BILLABLE CODE

  • T85.613 for Breakdown (mechanical) of artificial skin graft and decellularized allodermis - NON-BILLABLE CODE

  • Use T85.613A for initial encounter - BILLABLE CODE

  • Use T85.613D for subsequent encounter - BILLABLE CODE

  • Use T85.613S for sequela - BILLABLE CODE

  • T85.614 for Breakdown (mechanical) of insulin pump - NON-BILLABLE CODE

  • Use T85.614A for initial encounter - BILLABLE CODE

  • Use T85.614D for subsequent encounter - BILLABLE CODE

  • Use T85.614S for sequela - BILLABLE CODE

  • T85.615 for Breakdown (mechanical) of other nervous system device, implant or graft - NON-BILLABLE CODE

  • Use T85.615A for initial encounter - BILLABLE CODE

  • Use T85.615D for subsequent encounter - BILLABLE CODE

  • Use T85.615S for sequela - BILLABLE CODE

  • T85.618 for Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts - NON-BILLABLE CODE

  • Use T85.618A for initial encounter - BILLABLE CODE

  • Use T85.618D for subsequent encounter - BILLABLE CODE

  • Use T85.618S 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.