T82.09XA

T82.09XA: Other mechanical complication of heart valve prosthesis, initial encounter

Billable / specific codeICD-10-CM

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.

Check T82.09XA with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above T82.09XA

A category’s note binds every code beneath it.

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 T82.09XA

Not part of this code, but both may be coded when both are present.

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

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T82.09XA is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)

Code history

Unchanged in every release from FY2024 to FY2027.