T84

T84: Complications of internal orthopedic prosthetic devices, implants and grafts

Non-billable headerICD-10-CM

T84 is a non-billable header ICD-10-CM code for complications of internal orthopedic prosthetic devices, implants and grafts. 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 T84

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

failure and rejection of transplanted organs and tissues (T86.-)
fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

Other codes that can never be billed with T84

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z47.2Encounter for removal of internal fixation device
T85.612Breakdown (mechanical) of permanent sutures
T85.622ADisplacement of permanent sutures, initial encounter
T85.612ABreakdown (mechanical) of permanent sutures, initial encounter
T85.612DBreakdown (mechanical) of permanent sutures, subsequent encounter
T85.612SBreakdown (mechanical) of permanent sutures, sequela
T85.622Displacement of permanent sutures
T85.622DDisplacement of permanent sutures, subsequent encounter

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T84

10 child codes. Green means billable.