ICD-10-CM › S00-T88 › T80-T88 › T85 Complications of other internal... › T85.9

T85.9

Unspecified complication of internal prosthetic device, implant and graft

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 3 more specific codes instead:

  • T85.9XXA Unspecified complication of internal prosthetic device, implant and graft, initial encounter
  • T85.9XXD Unspecified complication of internal prosthetic device, implant and graft, subsequent encounter
  • T85.9XXS Unspecified complication of internal prosthetic device, implant and graft, sequela

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

What has happened to this code

Every change the publisher made, from 2014 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.

  1. FY2014 Added to the draft code set draft Unspecified complication of internal prosthetic device, implant and graft

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.

Inherited from T85 Complications of other internal prosthetic devices, implants and grafts

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)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Showing 40 of 73 index phrases.

Codes in the same group

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