2022 ICD-10-CM Code T85.638
Leakage of other specified internal prosthetic devices, implants and grafts

Version 2022
ICD-10:T85.638
Short Description:Leakage of internal prosthetic devices, implants and grafts
Long Description:Leakage of other specified internal prosthetic devices, implants and grafts
Status: Not Valid for Submission

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Complications of surgical and medical care, not elsewhere classified (T80-T88)
      • Complications of internal prosth dev/grft (T85)

T85.638 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of leakage of other specified internal prosthetic devices, implants and grafts. The code is not specific and is NOT valid for the year 2022 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.

The ICD-10-CM code T85.638 might also be used to specify conditions or terms like graft failure due to anastomotic leak.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Complications of internal prosth dev/grft (T85). Use the following options for the aplicable episode of care:

Specific Coding for Leakage of internal prosthetic devices, implants and grafts

Non-specific codes like T85.638 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for leakage of internal prosthetic devices, implants and grafts:

  • BILLABLE CODE - Use T85.638A for initial encounter
  • BILLABLE CODE - Use T85.638D for subsequent encounter
  • BILLABLE CODE - Use T85.638S for sequela

Entries in the Index to Diseases and Injuries with references to T85.638

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code T85.638 are found in the index:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)