2026 ICD-10-CM Diagnosis Code T85.612SBreakdown (mechanical) of permanent sutures, sequela

ICD-10-CM Codes›S00–T88›T80-T88›T85

ICD-10-CM T85.612S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T85.612S is a billable ICD-10-CM diagnosis code for breakdown (mechanical) of permanent sutures, 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

ICD-10-CM Code
T85.612S
Billable Status
Yes — Valid for Submission
Code Describes
Breakdown (mechanical) of permanent sutures, sequela
Short Description
Breakdown (mechanical) of permanent sutures, sequela
Same as the full description in the CMS dataset.
Parent Code
T85.612
Breakdown (mechanical) of permanent sutures

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT80-T88Complications of surgical and medical care, not elsewhere classified
CategoryT85Complications of other internal prosthetic devices, implants and grafts
This CodeT85.612SBreakdown (mechanical) of permanent sutures, sequela

Present on Admission (POA)Billing

T85.612S 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.

CCSR INJ076
Complication, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert T85.612S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
909.3 Late eff surg/med compl
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T85.612SOverview

Is T85.612S (Breakdown (mechanical) of permanent sutures) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report breakdown (mechanical) of permanent sutures, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T85.612S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the breakdown (mechanical) of permanent sutures itself has resolved, not the original event.

What MS-DRG does T85.612S group to?

When breakdown (mechanical) of permanent sutures, 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 T85.612S 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 permanent sutures, sequela on inpatient claims.

What is the ICD-9 equivalent of T85.612S?

Under the General Equivalence Mappings, breakdown (mechanical) of permanent sutures, sequela converts to ICD-9-CM 909.3 (late eff surg/med compl). The mapping is approximate, so confirm the match fits the documentation.