Is T85.121D a billable ICD-10-CM code?

Yes. T85.121D is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T85.121D 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).

T85.121D

T85.121D — Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T85.121D is a billable, specific ICD-10-CM code for displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter. It is valid for submission on a claim.

7th character "D" — subsequent encounter

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.

Displacement of electrode (lead) for cranial nerve neurostimulators
Displacement of electrode (lead) for gastric neurostimulator
Displacement of electrode (lead) for sacral nerve neurostimulator
Displacement of electrode (lead) for vagal nerve neurostimulators

Risk adjustment

T85.121D 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

T85.121D is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A53359Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
A56747Billing and Coding: Magnetic Resonance Angiography (MRA)

Related codes at this level

Codes that share T85.121. If T85.121D is not quite right, the correct code is usually one of these.

Questions about T85.121D

Is T85.121D a billable ICD-10-CM code?: Yes. T85.121D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T85.121D 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).