T82.228A — Other mechanical complication of biological heart valve graft, initial encounter
T82.228A is a billable, specific ICD-10-CM code for other mechanical complication of biological heart valve graft, 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 of biological heart valve graft
- Perforation of biological heart valve graft
- Protrusion of biological heart valve graft
Risk adjustment
T82.228A 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
T82.228A is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56602Billing and Coding: Cardiac Rhythm Device Evaluation
- A56625Billing and Coding: Echocardiography
- A56691Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Related codes at this level
Codes that share T82.228. If T82.228A is not quite right, the correct code is usually one of these.
Questions about T82.228A
- Is T82.228A a billable ICD-10-CM code?
- Yes. T82.228A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T82.228A 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).