2026 ICD-10-CM Diagnosis Code T85.850AStenosis due to nervous system prosthetic devices, implants and grafts, initial encounter
T85.850A is a billable ICD-10-CM diagnosis code for stenosis due to nervous system prosthetic devices, implants and grafts, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of other surgical or medical care, injury, initial encounter.
Code Identity
Code Classification
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.
Convert T85.850A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement T85.850A replaces the following previously assigned code(s):
- T85.85XA - Stenosis due to internal prosth dev/grft, NEC, init
Questions About T85.850AOverview
Is T85.850A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report stenosis due to nervous system prosthetic devices, implants and grafts, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T85.850A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for stenosis due to nervous system prosthetic devices, implants and grafts, such as an emergency visit or first evaluation.
What is the ICD-9 equivalent of T85.850A?
Under the General Equivalence Mappings, stenosis due to nervous system prosthetic devices, implants and grafts, initial encounter converts to ICD-9-CM 996.75 (comp-nerv sys dev/graft). The mapping is approximate, so confirm the match fits the documentation.
