T83.490A — Other mechanical complication of implanted penile prosthesis, initial encounter
T83.490A is a billable, specific ICD-10-CM code for other mechanical complication of implanted penile prosthesis, 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 T83
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Other mechanical complication of penile prosthesis cylinder
- Other mechanical complication of penile prosthesis pump
- Other mechanical complication of penile prosthesis reservoir
Risk adjustment
T83.490A 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
T83.490A is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57206Billing and Coding: Lumbar MRI
- A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
Related codes at this level
Codes that share T83.490. If T83.490A is not quite right, the correct code is usually one of these.
Questions about T83.490A
- Is T83.490A a billable ICD-10-CM code?
- Yes. T83.490A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T83.490A 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).