2024 ICD-10-CM Diagnosis Code T85.9XXA

Unspecified complication of internal prosthetic device, implant and graft, initial encounter

ICD-10-CM Code:
T85.9XXA
ICD-10 Code for:
Unsp complication of internal prosth dev/grft, init
Is Billable?
Yes - 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)

T85.9XXA is a billable diagnosis code used to specify a medical diagnosis of unspecified complication of internal prosthetic device, implant and graft, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T85.9XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified complication of internal prosthetic device implant and graft. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like T85.9XXA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

  • Adverse effect of prosthetic device
  • Airway device cuff problem
  • Complication associated with device
  • Complication associated with insulin pump
  • Complication associated with nervous system implant
  • Complication associated with neurological device
  • Complication associated with saline breast implant
  • Complication associated with silicone gel-filled breast implant
  • Complication associated with vagal nerve stimulator
  • Complication of bypass graft
  • Complication of catheter
  • Complication of electronic internal device
  • Complication of internal anastomosis
  • Complication of internal device
  • Complication of internal prosthetic device
  • Complication of peritoneal dialysis
  • Complication of reimplant
  • Device failure
  • Disorder of bile duct prosthesis
  • Disorder of bile duct stent
  • Disorder of breast implant
  • Disorder of dorsal column stimulator
  • Disorder of electrodes implanted in brain
  • Disorder of esophageal tubal prosthesis
  • Disorder of implanted esophageal antireflux device
  • Disorder of intraocular lens
  • Disorder of pancreatic duct anastomosis
  • Disorder of pancreatic stent
  • Disorder of peripheral nerve graft
  • Disorder of peritoneal dialysis catheter
  • Disorder of prostheses and implants
  • Disorders of musculoskeletal implants and repairs
  • Disorders of prostheses and implants of the eye
  • Disorders of prostheses and implants of the nervous system
  • Failed insertion
  • Failed subcutaneous contraceptive insertion
  • Finding of respiratory device
  • Graft complications
  • Malposition of neurostimulator generator
  • Mechanical complication of chin prosthesis
  • Mechanical complication of peripheral nerve graft
  • Tissue expander disorder
  • Urinary tract internal anastomosis complication

Clinical Classification

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

Convert T85.9XXA to ICD-9-CM

  • ICD-9-CM Code: 996.70 - Comp-unsp device/graft
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

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.