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-)

Excludes2 inherited from the categories above T84.05

Not part of this code, but both may be coded when both are present.

Written on T84: Complications of internal orthopedic prosthetic devices, implants and grafts

failure and rejection of transplanted organs and tissues (T86.-)
fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T84.05

6 child codes. Green means billable.