T84.05
T84.05 — Periprosthetic osteolysis of internal prosthetic joint
Non-billable headerICD-10-CM
T84.05 is a non-billable header ICD-10-CM code for periprosthetic osteolysis of internal prosthetic joint. 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
Use additional code
Add a secondary code to capture the detail described below.
- code to identify major osseous defect, if applicable (M89.7-)
Risk adjustment
T84.05 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T84.05
6 child codes. Green means billable.
- T84.050Periprosthetic osteolysis of internal prosthetic right hip joint
- T84.051Periprosthetic osteolysis of internal prosthetic left hip joint
- T84.052Periprosthetic osteolysis of internal prosthetic right knee joint
- T84.053Periprosthetic osteolysis of internal prosthetic left knee joint
- T84.058Periprosthetic osteolysis of other internal prosthetic joint
- T84.059Periprosthetic osteolysis of unspecified internal prosthetic joint
Related codes at this level
Codes that share T84.0. If T84.05 is not quite right, the correct code is usually one of these.
Questions about T84.05
- Is T84.05 a billable ICD-10-CM code?
- No. T84.05 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T84.05 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).