T84.069 — Wear of articular bearing surface of unspecified internal prosthetic joint
T84.069 is a non-billable header ICD-10-CM code for wear of articular bearing surface of unspecified 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
Risk adjustment
T84.069 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.
How T84.069 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T84.069.
- Complication›joint prosthesis, internal›mechanical›wear of articular bearing surface
Code to one of these instead T84.069
3 child codes. Green means billable.
Related codes at this level
Codes that share T84.06. If T84.069 is not quite right, the correct code is usually one of these.
- T84.060Wear of articular bearing surface of internal prosthetic right hip joint
- T84.061Wear of articular bearing surface of internal prosthetic left hip joint
- T84.062Wear of articular bearing surface of internal prosthetic right knee joint
- T84.063Wear of articular bearing surface of internal prosthetic left knee joint
- T84.068Wear of articular bearing surface of other internal prosthetic joint
Questions about T84.069
- Is T84.069 a billable ICD-10-CM code?
- No. T84.069 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T84.069 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).