T83.61XS

T83.61XS: Infection and inflammatory reaction due to implanted penile prosthesis, sequela

Billable / specific codeICD-10-CMPOA exempt

T83.61XS is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to implanted penile prosthesis, sequela. It is valid for submission on a claim.

Check T83.61XS with the rest of the claim: free scrubber

7th character "S": sequela

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.

Infection and inflammatory reaction due to penile prosthesis cylinder
Infection and inflammatory reaction due to penile prosthesis pump
Infection and inflammatory reaction due to penile prosthesis reservoir

Excludes2 inherited from the categories above T83.61XS

Not part of this code, but both may be coded when both are present.

Written on T83: Complications of genitourinary 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

T83.61XS is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Code history

Unchanged in every release from FY2024 to FY2027.