T85.11
T85.11 — Breakdown (mechanical) of implanted electronic stimulator of nervous system
Non-billable headerICD-10-CM
T85.11 is a non-billable header ICD-10-CM code for breakdown (mechanical) of implanted electronic stimulator of nervous system. 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
Risk adjustment
T85.11 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.
Code to one of these instead T85.11
5 child codes. Green means billable.
- T85.110Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead)
- T85.111Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)
- T85.112Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead)
- T85.113Breakdown (mechanical) of implanted electronic neurostimulator, generator
- T85.118Breakdown (mechanical) of other implanted electronic stimulator of nervous system
Related codes at this level
Codes that share T85.1. If T85.11 is not quite right, the correct code is usually one of these.
Questions about T85.11
- Is T85.11 a billable ICD-10-CM code?
- No. T85.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T85.11 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).