Complications of other internal prosthetic devices, implants and grafts

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 10 more specific codes instead:

T85.0 Mechanical complication of ventricular intracranial (communicating) shunt (also a header)
T85.1 Mechanical complication of implanted electronic stimulator of nervous system (also a header)
T85.2 Mechanical complication of intraocular lens (also a header)
T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts (also a header)
T85.4 Mechanical complication of breast prosthesis and implant (also a header)
T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts (also a header)
T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and grafts (also a header)
T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts (also a header)
T85.8 Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified (also a header)
T85.9 Unspecified complication of internal prosthetic device, implant and graft (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Complications of other internal prosthetic devices, implants and grafts

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Seventh character required

The appropriate 7th character is to be added to each code from category T85

Excludes2 - not included here

failure and rejection of transplanted organs and tissue (T86.-)

Inherited from the T80-T88 section Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes2 - not included here

any encounters with medical care for postprocedural conditions in which no complications are present, such as:
artificial opening status (Z93.-)
closure of external stoma (Z43.-)
fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20-T32)
complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
mechanical complication of respirator [ventilator] (J95.850)
poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
postprocedural fever (R50.82)
specified complications classified elsewhere, such as:
cerebrospinal fluid leak from spinal puncture (G97.0)
colostomy malfunction (K94.0-)
disorders of fluid and electrolyte imbalance (E86-E87)
functional disturbances following cardiac surgery (I97.0-I97.1)
intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
ostomy complications (J95.0-, K94.-, N99.5-)
postgastric surgery syndromes (K91.1)
postlaminectomy syndrome NEC (M96.1)
postmastectomy lymphedema syndrome (I97.2)
postsurgical blind-loop syndrome (K91.2)
ventilator associated pneumonia (J95.851)

Use additional code

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)