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

Excludes2 inherited from the categories above T84.5

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

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T84.5

6 child codes. Green means billable.