T84.60XS

T84.60XS: Infection and inflammatory reaction due to internal fixation device of unspecified site, sequela

Billable / specific codeICD-10-CMPOA exempt

T84.60XS is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to internal fixation device of unspecified site, sequela. It is valid for submission on a claim.

Check T84.60XS with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above T84.60XS

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.

Medicare coverage

T84.60XS is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy
A57311Billing and Coding: Physical Therapy - Home Health
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Code history

Unchanged in every release from FY2024 to FY2027.