T84.50XS — Infection and inflammatory reaction due to unspecified internal joint prosthesis, sequela
T84.50XS is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to unspecified internal joint prosthesis, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category T84
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T84.50XS 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.
Medicare coverage
T84.50XS is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share T84.50. If T84.50XS is not quite right, the correct code is usually one of these.
Questions about T84.50XS
- Is T84.50XS a billable ICD-10-CM code?
- Yes. T84.50XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T84.50XS 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).