T83.69XA

T83.69XA: Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter

Billable / specific codeICD-10-CM

T83.69XA is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter. It is valid for submission on a claim.

Check T83.69XA with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above T83.69XA

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

T83.69XA is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A57206Billing and Coding: Lumbar MRI

Code history

Unchanged in every release from FY2024 to FY2027.