T85.111
T85.111: Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)
Non-billable headerICD-10-CM
T85.111 is a non-billable header ICD-10-CM code for breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead). 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Breakdown of electrode (lead) for cranial nerve neurostimulators
- Breakdown of electrode (lead) for gastric neurostimulator
- Breakdown of electrode (lead) for sacral nerve neurostimulator
- Breakdown of electrode (lead) for vagal nerve neurostimulators
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Complication›electronic stimulator device›peripheral nerve›mechanical›breakdown
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T85.111
3 child codes. Green means billable.
- T85.111ABreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
- T85.111DBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
- T85.111SBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
Other codes under T85.11
- T85.110Breakdown (mechanical) of implanted electronic neurostimulator of brain 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