Is T82.01XS a billable ICD-10-CM code?

Yes. T82.01XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T82.01XS 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 T82.01XS?

T82.01XS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T82.01XS (T82.0) and apply to it just the same.

T82.01XS

T82.01XS — Breakdown (mechanical) of heart valve prosthesis, sequela

Billable / specific codeICD-10-CMPOA exempt

T82.01XS is a billable, specific ICD-10-CM code for breakdown (mechanical) of heart valve prosthesis, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category T82

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above T82.01XS

These are not written on T82.01XS, but they bind it: a note on a category applies to every code beneath it. Billing T82.01XS with anything listed here is a denial.

Written on T82.0 — Mechanical complication of heart valve prosthesis

mechanical complication of biological heart valve graft (T82.22-)

Excludes2 inherited from the categories above T82.01XS

Also inherited, and the opposite of Excludes1: these conditions are not part of T82.01XS, but a patient can have both, so you may code both.

Written on T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts

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

Risk adjustment

T82.01XS 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.

Medicare coverage

T82.01XS is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A52868Billing and Coding: Transesophageal Echocardiography (TEE)

Code history

T82.01XS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share T82.01. If T82.01XS is not quite right, the correct code is usually one of these.

Questions about T82.01XS

Is T82.01XS a billable ICD-10-CM code?: Yes. T82.01XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T82.01XS 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 T82.01XS?: T82.01XS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T82.01XS (T82.0) and apply to it just the same.