2025 ICD-10-CM Diagnosis Code T85.735A

Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter

ICD-10-CM Code:
T85.735A
ICD-10 Code for:
I/I react d/t cranial or spinal infusion catheter, init
Is Billable?
Yes - Valid for Submission
Code Navigator:

T85.735A is a billable diagnosis code used to specify a medical diagnosis of infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

T85.735A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like infection and inflammatory reaction due to cranial or spinal infusion catheter. 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.

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

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Complication of other surgical or medical care, injury, initial encounter

CCSR Code: INJ037

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

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

Replacement Code

T85735A replaces the following previously assigned ICD-10-CM code(s):

  • T85.79XA - Infect/inflm reaction due to oth int prosth dev/grft, init

Convert T85.735A to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

React-nerv sys dev/graft

ICD-9-CM: 996.63

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

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