T85

T85: Complications of other internal prosthetic devices, implants and grafts

Non-billable headerICD-10-CM

T85 is a non-billable header ICD-10-CM code for complications of other internal prosthetic devices, implants and grafts. 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 T85

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

failure and rejection of transplanted organs and tissue (T86.-)

Other codes that can never be billed with T85

Their own Excludes1 notes name this code, so the conflict is not listed above.

H27Other disorders of lens
H59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Z44.3Encounter for fitting and adjustment of external breast prosthesis
Z45.81Encounter for adjustment or removal of breast implant
Z97Presence of other devices
Z44.2Encounter for fitting and adjustment of artificial eye
T81.3Disruption of wound, not elsewhere classified
T82.4Mechanical complication of vascular dialysis catheter

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 T85

10 child codes. Green means billable.