T84.013S
T84.013S: Broken internal left knee prosthesis, sequela
Billable / specific codeICD-10-CMPOA exemptleft
T84.013S is a billable, specific ICD-10-CM code for broken internal left knee prosthesis, sequela. It is valid for submission on a claim.
Check T84.013S with the rest of the claim: free scrubber7th character "S": sequela
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 T84.013S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T84.013S
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
T84.013S is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.