T83.5
T83.5 — Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system
Non-billable headerICD-10-CM
T83.5 is a non-billable header ICD-10-CM code for infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system. 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 T83
- 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
T83.5 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.
Code to one of these instead T83.5
2 child codes. Green means billable.
Related codes at this level
Codes that share T83. If T83.5 is not quite right, the correct code is usually one of these.
- T83.0Mechanical complication of urinary catheter
- T83.1Mechanical complication of other urinary devices and implants
- T83.2Mechanical complication of graft of urinary organ
- T83.3Mechanical complication of intrauterine contraceptive device
- T83.4Mechanical complication of other prosthetic devices, implants and grafts of genital tract
- T83.6Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract
- T83.7Complications due to implanted mesh and other prosthetic materials
- T83.8Other specified complications of genitourinary prosthetic devices, implants and grafts
- T83.9Unspecified complication of genitourinary prosthetic device, implant and graft
Questions about T83.5
- Is T83.5 a billable ICD-10-CM code?
- No. T83.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T83.5 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).