T84.5
T84.5 — Infection and inflammatory reaction due to internal joint prosthesis
Non-billable headerICD-10-CM
T84.5 is a non-billable header ICD-10-CM code for infection and inflammatory reaction due to internal joint prosthesis. 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 infection
Risk adjustment
T84.5 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.
Code to one of these instead T84.5
6 child codes. Green means billable.
- T84.50Infection and inflammatory reaction due to unspecified internal joint prosthesis
- T84.51Infection and inflammatory reaction due to internal right hip prosthesis
- T84.52Infection and inflammatory reaction due to internal left hip prosthesis
- T84.53Infection and inflammatory reaction due to internal right knee prosthesis
- T84.54Infection and inflammatory reaction due to internal left knee prosthesis
- T84.59Infection and inflammatory reaction due to other internal joint prosthesis
Related codes at this level
Codes that share T84. If T84.5 is not quite right, the correct code is usually one of these.
- T84.0Mechanical complication of internal joint prosthesis
- T84.1Mechanical complication of internal fixation device of bones of limb
- T84.2Mechanical complication of internal fixation device of other bones
- T84.3Mechanical complication of other bone devices, implants and grafts
- T84.4Mechanical complication of other internal orthopedic devices, implants and grafts
- T84.6Infection and inflammatory reaction due to internal fixation device
- T84.7Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts
- T84.8Other specified complications of internal orthopedic prosthetic devices, implants and grafts
- T84.9Unspecified complication of internal orthopedic prosthetic device, implant and graft
Questions about T84.5
- Is T84.5 a billable ICD-10-CM code?
- No. T84.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T84.5 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).