T82.512A

T82.512A: Breakdown (mechanical) of artificial heart, initial encounter

Billable / specific codeICD-10-CM

T82.512A is a billable, specific ICD-10-CM code for breakdown (mechanical) of artificial heart, initial encounter. It is valid for submission on a claim.

Check T82.512A 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

Excludes2 inherited from the categories above T82.512A

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

Written on T82.5: Mechanical complication of other cardiac and vascular devices and implants

mechanical complication of epidural and subdural infusion catheter (T85.61)

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

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

Risk adjustment

T82.512A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 223 Heart Assist Device/Artificial Heart2.505 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

T82.512A is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56602Billing and Coding: Cardiac Rhythm Device Evaluation
A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57206Billing and Coding: Lumbar MRI

Code history

Unchanged in every release from FY2024 to FY2027.