T84.196A
T84.196A: Other mechanical complication of internal fixation device of bone of right lower leg, initial encounter
Billable / specific codeICD-10-CMright
T84.196A is a billable, specific ICD-10-CM code for other mechanical complication of internal fixation device of bone of right lower leg, initial encounter. It is valid for submission on a claim.
Check T84.196A with the rest of the claim: free scrubber7th character "A": initial 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 T84.196A
Not part of this code, but both may be coded when both are present.
Written on T84.1: Mechanical complication of internal fixation device of bones of limb
- mechanical complication of internal fixation device of bones of feet (T84.2-)
- mechanical complication of internal fixation device of bones of fingers (T84.2-)
- mechanical complication of internal fixation device of bones of hands (T84.2-)
- mechanical complication of internal fixation device of bones of toes (T84.2-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T84.196A is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A57311Billing and Coding: Physical Therapy - Home Health
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
- A59811Billing and Coding: Total Joint Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.