2026 ICD-10-CM Diagnosis Code T85.611SBreakdown (mechanical) of intraperitoneal dialysis catheter, sequela
T85.611S is a billable ICD-10-CM diagnosis code for breakdown (mechanical) of intraperitoneal dialysis catheter, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T85.611S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Dialysis
When your kidneys are healthy, they clean your blood. They also make hormones that keep your bones strong and your blood healthy. When your kidneys fail, you need treatment to replace the work your kidneys used to do. Unless you have a kidney transplant, you will need a treatment called dialysis.
Read the full article at MedlinePlus
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Convert T85.611S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T85.611SOverview
Is T85.611S (Breakdown (mechanical) of intraperitoneal dialysis catheter) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report breakdown (mechanical) of intraperitoneal dialysis catheter, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T85.611S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the breakdown (mechanical) of intraperitoneal dialysis catheter itself has resolved, not the original event.
What MS-DRG does T85.611S group to?
When breakdown (mechanical) of intraperitoneal dialysis catheter, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T85.611S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for breakdown (mechanical) of intraperitoneal dialysis catheter, sequela on inpatient claims.
What is the ICD-9 equivalent of T85.611S?
Under the General Equivalence Mappings, breakdown (mechanical) of intraperitoneal dialysis catheter, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.
