T82.0 — Mechanical complication of heart valve prosthesis
T82.0 is a non-billable header ICD-10-CM code for mechanical complication of heart valve prosthesis. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T82
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- mechanical complication of biological heart valve graft (T82.22-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Mechanical complication of artificial heart valve
Other codes that can never be billed with T82.0
These codes carry an Excludes1 note pointing at T82.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T82.0 alone.
- T82.2Mechanical complication of coronary artery bypass graft and biological heart valve graft
Risk adjustment
T82.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T82.0
4 child codes. Green means billable.
Related codes at this level
Codes that share T82. If T82.0 is not quite right, the correct code is usually one of these.
- T82.1Mechanical complication of cardiac electronic device
- T82.2Mechanical complication of coronary artery bypass graft and biological heart valve graft
- T82.3Mechanical complication of other vascular grafts
- T82.4Mechanical complication of vascular dialysis catheter
- T82.5Mechanical complication of other cardiac and vascular devices and implants
- T82.6Infection and inflammatory reaction due to cardiac valve prosthesis
- T82.7Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
- T82.8Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
- T82.9Unspecified complication of cardiac and vascular prosthetic device, implant and graft
Questions about T82.0
- Is T82.0 a billable ICD-10-CM code?
- No. T82.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T82.0 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).
- What cannot be coded together with T82.0?
- T82.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.