T82.6 — Infection and inflammatory reaction due to cardiac valve prosthesis
T82.6 is a non-billable header ICD-10-CM code for infection and inflammatory reaction due to cardiac valve prosthesis. 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
Use additional code
Add a secondary code to capture the detail described below.
- code to identify infection
Risk adjustment
T82.6 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 T82.6 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 T82.6.
- Endocarditis›due to›prosthetic cardiac valve
- Inflammation, inflamed, inflammatory›due to device, implant or graft›heart NEC›valve(prosthesis)
- Sepsis›due to device, implant or graft›heart NEC›valve(prosthesis)
- Complication›cardiac›device, implant or graft›infection or inflammation›valve prosthesis
- Complication›heart›valve›prosthesis›infection or inflammation
- Infection, infected, infective›due to or resulting from›device, implant or graft›heart NEC›valve(prosthesis)
Code to one of these instead T82.6
3 child codes. Green means billable.
Related codes at this level
Codes that share T82. If T82.6 is not quite right, the correct code is usually one of these.
- T82.0Mechanical complication of heart valve prosthesis
- T82.1Mechanical complication of cardiac electronic device
- T82.2Mechanical complication of coronary artery bypass graft and biological heart valve graft
- T82.3Mechanical complication of other vascular grafts
- T82.4Mechanical complication of vascular dialysis catheter
- T82.5Mechanical complication of other cardiac and vascular devices and implants
- T82.7Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
- T82.8Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
- T82.9Unspecified complication of cardiac and vascular prosthetic device, implant and graft
Questions about T82.6
- Is T82.6 a billable ICD-10-CM code?
- No. T82.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T82.6 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).