Is T82.223 a billable ICD-10-CM code?

No. T82.223 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T82.223 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 T82.223?

T82.223 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 T82.223 (T82.2) and apply to it just the same.

T82.223

T82.223 — Leakage of biological heart valve graft

Non-billable headerICD-10-CM

T82.223 is a non-billable header ICD-10-CM code for leakage of biological heart valve graft. 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 inherited from the categories above T82.223

These are not written on T82.223, but they bind it: a note on a category applies to every code beneath it. Billing T82.223 with anything listed here is a denial.

Written on T82.2 — Mechanical complication of coronary artery bypass graft and biological heart valve graft

mechanical complication of artificial heart valve prosthesis (T82.0-)

Excludes2 inherited from the categories above T82.223

Also inherited, and the opposite of Excludes1: these conditions are not part of T82.223, 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

T82.223 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.

How T82.223 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T82.223.

Complication›heart›valve›graft›mechanical›leakage

Code history

T82.223 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead T82.223

3 child codes. Green means billable.

Related codes at this level

Codes that share T82.22. If T82.223 is not quite right, the correct code is usually one of these.

Questions about T82.223

Is T82.223 a billable ICD-10-CM code?: No. T82.223 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T82.223 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 T82.223?: T82.223 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 T82.223 (T82.2) and apply to it just the same.