T84.018D
T84.018D: Broken internal joint prosthesis, other site, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
T84.018D is a billable, specific ICD-10-CM code for broken internal joint prosthesis, other site, subsequent encounter. It is valid for submission on a claim.
Check T84.018D 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
Use additional code
Add a secondary code to capture the detail described below.
- code to identify the joint (Z96.6-)
Excludes1 inherited from the categories above T84.018D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T84.018D
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
T84.018D is named in 4 Medicare coverage policies: 4 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
- A57206Billing and Coding: Lumbar MRI
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.