T82.6XXD

T82.6XXD: Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T82.6XXD is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter. It is valid for submission on a claim.

Check T82.6XXD with the rest of the claim: free scrubber

7th character "D": subsequent encounter

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

Excludes2 inherited from the categories above T82.6XXD

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

T82.6XXD is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A53058Billing and Coding: Home Health Physical Therapy
A56476Billing and Coding: Cardiac Radionuclide Imaging
A56612Billing and Coding: CT of the Head

Code history

Unchanged in every release from FY2024 to FY2027.