T82.867A
T82.867A — Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter
Billable / specific codeICD-10-CM
T82.867A is a billable, specific ICD-10-CM code for thrombosis due to cardiac prosthetic devices, implants and grafts, 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
Risk adjustment
T82.867A 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
T82.867A is named in 37 Medicare coverage policies — 37 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Related codes at this level
Codes that share T82.867. If T82.867A is not quite right, the correct code is usually one of these.
Questions about T82.867A
- Is T82.867A a billable ICD-10-CM code?
- Yes. T82.867A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T82.867A 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).