T84.013A
T84.013A: Broken internal left knee prosthesis, initial encounter
Billable / specific codeICD-10-CMleft
T84.013A is a billable, specific ICD-10-CM code for broken internal left knee prosthesis, initial encounter. It is valid for submission on a claim.
Check T84.013A with the rest of the claim: free scrubber7th character "A": initial 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 T84.013A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T84.013A
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
T84.013A is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
- A57206Billing and Coding: Lumbar MRI
Code history
Unchanged in every release from FY2024 to FY2027.