T84.318A

T84.318A: Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter

Billable / specific codeICD-10-CM

T84.318A is a billable, specific ICD-10-CM code for breakdown (mechanical) of other bone devices, implants and grafts, initial encounter. It is valid for submission on a claim.

Check T84.318A with the rest of the claim: free scrubber

7th 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 T84.318A

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

Written on T84.3: Mechanical complication of other bone devices, implants and grafts

other complications of bone graft (T86.83-)

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.

Medicare coverage

T84.318A is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57311Billing and Coding: Physical Therapy - Home Health
A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
A59811Billing and Coding: Total Joint Arthroplasty
A60249Billing and Coding: Total Joint Arthroplasty

Code history

Unchanged in every release from FY2024 to FY2027.