T85.118A — Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118A is a billable, specific ICD-10-CM code for breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T85
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T85.118A 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
T85.118A is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
- A56805Billing and Coding: Magnetic Resonance Angiography (MRA)
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share T85.118. If T85.118A is not quite right, the correct code is usually one of these.
Questions about T85.118A
- Is T85.118A a billable ICD-10-CM code?
- Yes. T85.118A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T85.118A 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).