T84.9XXS — Unspecified complication of internal orthopedic prosthetic device, implant and graft, sequela
T84.9XXS is a billable, specific ICD-10-CM code for unspecified complication of internal orthopedic prosthetic device, implant and graft, 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
T84.9XXS 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
T84.9XXS is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share T84.9. If T84.9XXS is not quite right, the correct code is usually one of these.
Questions about T84.9XXS
- Is T84.9XXS a billable ICD-10-CM code?
- Yes. T84.9XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T84.9XXS 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).