T84.011D
T84.011D: Broken internal left hip prosthesis, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
T84.011D is a billable, specific ICD-10-CM code for broken internal left hip prosthesis, subsequent encounter. It is valid for submission on a claim.
Check T84.011D with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category T84
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T84.011D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T84.011D
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T84.011D is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.