T82.09XA — Other mechanical complication of heart valve prosthesis, initial encounter
T82.09XA is a billable, specific ICD-10-CM code for other mechanical complication of heart valve prosthesis, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T82
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Obstruction (mechanical) of heart valve prosthesis
- Perforation of heart valve prosthesis
- Protrusion of heart valve prosthesis
Risk adjustment
T82.09XA 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
T82.09XA is named in 12 Medicare coverage policies — 12 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)
Related codes at this level
Codes that share T82.09. If T82.09XA is not quite right, the correct code is usually one of these.
Questions about T82.09XA
- Is T82.09XA a billable ICD-10-CM code?
- Yes. T82.09XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T82.09XA 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).