T84.091D
T84.091D: Other mechanical complication of internal left hip prosthesis, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
T84.091D is a billable, specific ICD-10-CM code for other mechanical complication of internal left hip prosthesis, subsequent encounter. It is valid for submission on a claim.
Check T84.091D 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
Excludes2 inherited from the categories above T84.091D
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
T84.091D is named in 10 Medicare coverage policies: 10 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
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.