ICD-10 Diagnosis Code T85.49XS

Mech compl of breast prosthesis and implant, sequela

Diagnosis Code T85.49XS

ICD-10: T85.49XS
Short Description: Mech compl of breast prosthesis and implant, sequela
Long Description: Other mechanical complication of breast prosthesis and implant, sequela
This is the 2018 version of the ICD-10-CM diagnosis code T85.49XS

Valid for Submission
The code T85.49XS is valid for submission for HIPAA-covered transactions.

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)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code T85.49XS is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)

  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code T85.49XS is exempt from POA reporting.

Synonyms
  • Breast implant protrusion
  • Complication of breast implant surgery
  • Disorder of breast implant
  • Disorder of breast implant
  • Mechanical complication due to breast prosthesis
  • Mechanical complication of breast prosthesis
  • Pain from breast implant
  • Rupture of breast implant

Information for Patients


Breast Reconstruction

If you need a mastectomy, you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons. What is right for one woman may not be right for another.

Breast reconstruction may be done at the same time as the mastectomy, or it may be done later on. If radiation therapy is part of the treatment plan, your doctor may suggest waiting until after radiation therapy.

If you're thinking about breast reconstruction, talk to a plastic surgeon before the mastectomy, even if you plan to have your reconstruction later on.

A surgeon can reconstruct the breast in many ways. Some women choose to have breast implants, which are filled with saline or silicone gel. Another method uses tissue taken from another part of your body. The plastic surgeon can take skin, muscle, and fat from your lower abdomen, back, or buttocks.

The type of reconstruction that is best for you depends on your age, body type, and the type of cancer surgery that you had. A plastic surgeon can help you decide.

NIH: National Cancer Institute

  • Breast reconstruction - implants (Medical Encyclopedia)
  • Breast reconstruction - natural tissue (Medical Encyclopedia)


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